RT Book, Section
A1 Shah, Ashish
A1 Sobolewski, Brad
A1 Mittiga, Matthew R.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181044355
T1 Measles
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181044355
RD 2024/04/19
AB Measles  presents  as  an  acute  febrile  illness  with  a  3-  to  4-day  prodromal  period  characterized  initially  by  fever,  malaise,  and  anorexia,  followed  closely  by  conjunctivitis,  coryza,  and  cough.  Koplik  spots,  the  pathognomonic  enanthem  of  measles,  appear  as  1-  to  3-mm  red  papules  with  gray-white  centers  on  the  buccal  mucosa.  They  usually  present  transiently  approximately  48  hours  before  the  development  of  the  characteristic  erythematous  blanching  maculopapular  rash.  The  rash  appears  on  day  3  or  4  after  the  onset  of  fever  as  dark  red  to  purple  macules  and  papules  on  the  forehead,  around  the  hairline,  and  behind  the  earlobes,  subsequently  spreading  in  a  cephalocaudad  progression,  often  becoming  confluent.  The  lesions  tend  to  fade  in  the  same  order  that  they  appear.