Rash Illness Chart
|Measles||Initially red, blanching maculopapular becoming confluent by 3rd day. Color progresses from pink to dusky red to reddish-brown.||Begins around ears and hairline; concentrated mostly on face, trunk, and the proximal arms and legs.||Slight, if any||High fever persists after rash onset. Cough, conjunctivitis, runny nose, Koplik spots.|
|Chicken pox||Papules, blisters, crusts at the same time.||Heavier on trunk and on proximal extremities||Yes||May have 2-3 days of mild fever.|
|Herpes zoster||Clusters of blisters on a red base.||A single area of skin.||No (usually preceded by pain)||More common with underlying illness.|
|Rubella||Small, fine pink spots. Maculopapular non-confluent; rash may be absent in some.||Begins on face; involves trunk, within 24 hours; may fade from previously involved areas as it progresses. Rash may be difficult to detect. More noticeable after hot shower.||No||Swollen lymph nodes at back of neck are common; joint pain common in older children. Pregnant individuals with illness or exposure should consult a physician.|
|Scarlet fever||Pink-red flush with pinhead spots (like a sunburn with goose pimples). Blanches with pressure||First noted on upper chest, spreads to trunk, neck, and extremities. Usually not on palms, soles of feet and face.||No||Positive throat culture for strep, sore throat, strawberry tongue, circumoral pallor.|
|Roseola||Small discrete rose-pink spots. Maculopapular.||Begins on chest, abdomen, then generalizes.||No||Fever breaks as rash comes out. Usually occurs on children under four years|
|Pityriasis rosea||First a herald patch; salmon-colored macule with peripheral scaling; after several days, widespread coverage of ½ inch oval, salmon-pink macules in skin cleavage lines.||Usually on trunk, less often only on extremities, rarely on face.||Yes
(but not always)
|Fifth Disease||Begins as solid bright red eruption on cheeks (slapped cheek appearance). Rash frequently disappears, becoming lace like in appearance, then reappears, often within a few hours.||Begins on cheeks, spreads to upper arms and legs, trunk, hands, feet.||No||Usually non-febrile. Not serious, except in children with chronic hemolytic anemias or immunodeficiencies.|
No cause for exclusion from school.
Pregnant individuals with illness or exposure should consult a physician.
|Hand/Foot and Mouth Disease
(Vesicular Stomatitis with Exanthem)
|Begins with sore throat and low grade fever that lasts one to two days. Vesicles resembling those occurring with chickenpox. Vesicles break easily and form small ulcers. There is usually a small red area around the ulcers.||Vesicles occur inside the mouth and throat, on the lips, fingers, hands, and feet.||No|