SYNTHESIS- DIFFERENT

VIRAL AND NON-VIRAL

EXANTHEMS
SEIGE FRED R. CORONIA
 Chicken Pox aka Varicella- highly contagious disease that attacks the lymph nodes and then in
skin and neurons
Roseola Infantum aka Sixth Disease - Roseola is a common viral illness affecting babies and young
children, usually between six months and three years of age.
Fifth Disease aka Erythema infectiosum- viral illness that most kids ages 5-15 years old recover
from quickly and without complications, though some may have
German Measles aka Rubella - A three-day measles, is a contagious viral infection best known by
its distinctive red rash.
Measles aka Rubeola - a highly infectious virus infection that attacks the respiratory and
immune system.
Hand, Foot, and Mouth aka HFMD - is a common and highly contagious viral illness that affects children
Disease below 5 years old.
Dengue Fever aka Dengue Fever- a debilitating viral disease of the tropics, transmitted by
mosquitoes, and causing sudden fever, acute pains in the joints, and sudden
bleeding.
Anaphylaxis -a severe, life-threatening allergic reaction caused by sudden burst of immune
response from exposure of an offending allergen
 Chicken Pox VARICELLA ZOSTER

Roseola Infantum HERPEX SIMPLEX VIRUS 6

Fifth Disease PARVOVIRUS B19

German Measles TOGAVIRUS

Measles PARAMYXOVIRUS

Hand, Foot, and Mouth COXSAKIEVIRUS

Disease
Dengue Fever FLAVIVIRUS
Anaphylaxis OFFENDING ALLERGEN
 Chicken Pox 14-16 days

Roseola Infantum 5-15 days

Fifth Disease 7-10 days

German Measles 14-23 days

Measles 10-14 days

Hand, Foot, and Mouth 3-6 days

Disease
Dengue Fever Uncertain, probably 6-7 days
Anaphylaxis may depend on exposure of an allergen-seconds,
minutes, hours
 Chicken Pox 1-2 days

Roseola Infantum 1-10 days

Fifth Disease 1-5 days

German Measles 7 days

Measles 3-5 days

Hand, Foot, and Mouth 3-5 days

Disease
Dengue Fever 7 days
Anaphylaxis may depend on exposure of an allergen-seconds,
minutes, hours
 Chicken Pox Airborne with droplet

Roseola Infantum Direct Contact with Respiratory secretions

Fifth Disease Airborne with Droplet

German Measles Airborne with droplet

Measles Airborne with droplet

Hand, Foot, and Mouth Direct Contact with secretions

Disease
Dengue Fever Vector-Borne Transmission
Anaphylaxis None (Exposure to offending allergens)
 Chicken Pox Moderate to High Grade

Roseola Infantum High Grade Fever (38.5-40C)

Fifth Disease Mild Fever

German Measles Mild Fever (37.7C)

Measles High Fever

Hand, Foot, and Mouth Mild Fever

Disease
Dengue Fever High Grade Fever- slows down after 7 days
Anaphylaxis None
 Chicken Pox Maculo-Papulo-Vesicular Rashes

Roseola Infantum Maculo-Papular Rashes

Fifth Disease Slapped Cheek Rash

German Measles Pink or Bright Red like Rashes

Measles Enanthem Rash

Red Blotchy Maculo-papular Rash
Hand, Foot, and Mouth Vesicular Sores- Mouth
Disease Non-Itchy Rashes on Foot and Hands
Dengue Fever Peticheal Rash
Anaphylaxis Raised itchy bumps, either red or skin-colored
Vesicular Rashes (Chicken Pox)

Maculo-Papular Rash (Roseola

Infantum)
 Macular Rashes (Rubella)

Slapped Cheek Rash (Fifth Disease)

Macular Rash (Measles)

Ulcer and Rash (Hand, Foot, and

Mouth Disease)
 Peticheal Rash (Dengue Fever)

Hives (Anaphylactic Reaction)

Koplik Spots (Measles)

Forchheimer Spots
(GermanMeasles)

Herman's Rash (Dengue Fever)

 Chicken Pox Body Malaise, Pruritus, Headache, Drowsiness, Loss of
Apetite
Roseola Infantum Irritability, Swelling of Eyelids

Fifth Disease Flu-like symtoms, Red Shot Eyes, Sore Throat, Nausea,
Fatigue
German Measles Conjuctivitis, Lymphadenopathy, Malaise, Runny Stuffy
Nose
Measles Cough, Coryza, Cojunctivitis, body malaise

Hand, Foot, and Mouth Disease Sore Throat, poor apetite, body malaise, Runny nose

Dengue Fever Headache,Stomachache, Arthritic Pain, Bleeding

Tendencies, body malaise
Anaphylaxis Rapid weak pulse, Nausea and Vomiting, Pale Skin,
Difficulty Breathing, signs of circulatory collapse
 Chicken Pox Vesicular Rash

Roseola Infantum Pink Rash

Fifth Disease Slapped Cheek Rash

German Measles Forchheimer Spots

Measles Koplik Spots, Stimson’s Line

Hand, Foot, and Mouth Painful Sores-Mouth

Disease Non-itchy Rash- Hand and Foot
Dengue Fever Herman Sign, Plasma Leakage
Anaphylaxis Hives
 Chicken Pox Secondary Bacterial Infection (Pnuemonia)
Encephalomaningitis, Hepatitis
Roseola Infantum Febrile Seizures
Encephalopathy
Fifth Disease Blood Disorders (Anemia, Sickle-cell), Immune
Deficiencies
German Measles Arthrtis, Encephalitis, Thrombocytopenic Purpura,
Acute Rubella Syndrom
Measles Pneumonia, Diarrhea, Super Bacterial Infection

Hand, Foot, and Mouth Meningitis, Encephalitis, Fingernail/Toenail Loss

Disease
Dengue Fever Dengue Shock Syndrome
Anaphylaxis Anaphylactic Shock, Multiple Organ Failure
 Chicken Pox Medical History
Physical Examination
Blood Serology
Roseola Infantum Medical History
Physical Examination
Blood Serology

Fifth Disease Medical History

Physical Examination
Blood Serology

German Measles Medical History

Physical Examination
Blood Serology
 Measles Medical History
Physical Examination
Blood Serology

Hand, Foot, and Mouth Medical History

Disease Physical Examination
Blood Serology

Dengue Fever Torniquet Test

Dengue Dot Test

Anaphylaxis Blood Serology: increase cell mediators

 Chicken Pox Supportive Therapy: Hydration, Antipyretics, Boost
Immune System
Roseola Infantum Supportive Therapy: Hydration, Antipyretics, Boost
Immune System
Fifth Disease Supportive Therapy: Hydration, Antipyretics, Boost
Immune System
German Measles Supportive Therapy: Hydration, Antipyretics, Boost
Immune System
Measles Supportive Therapy: Hydration, Antipyretics, Boost
Immune System
Hand, Foot, and Mouth Supportive Therapy: Hydration, Antipyretics, Boost
Disease Immune System
Dengue Fever Supportive Therapy: Hydration, Antipyretics, Boost
Immune System
Blood Transfusion
Anaphylaxis Epinephrine, Antihistamines, Corticosteroids
 Chicken Pox Vacicella Vaccine

Roseola Infantum Cover Mouth and Nose

Fifth Disease Cover Mouth and Nose

German Measles MMR Vaccine

Cover Mouth and Nose

Measles Measles Vaccine

Cover Mouth and Nose

Hand, Foot, and Mouth Handwashing

Disease
Dengue Fever 4S of Dengue, Boost Immune System
Anaphylaxis Avoidance of identified offending Allergen
 1. Never scratch pruritic rash. May use calamine lotion or antihistamine
to reduce itchiness.
Chicken Pox 2. May take a bath (damp, but not rub the rashes).
3. Isolation, avoid get in contact to a person with the disease.
4. NO ASPIRIN.
1. Cover mouth and nose.
2. Refrain from entering to crowded place.
Roseola Infantum 3. Disinfection of Items
4. NO ASPIRIN
1. Avoid getting near to pregnant women
2. NO TO ASPIRIN
Fifth Disease 3. Wash hands often with soap and water.
4. Cover mouth and nose when sneeze or cough.
5. Do not touch eyes, nose or mouth.
1. Avoid get in contact with pregnant women
2. Wash hands often with soap and water.
German Measles 3. Refrain from entering to crowded place.
4. Cover mouth and nose when sneeze or cough.
 1. Cover mouth and nose when sneeze or cough.
2. Wash hands often with soap and water.
Measles 3. Refrain from going to crowded places.
4. Isolation
5. Disinfection of soiled items
1. Avoid toughing, kissing, hugging, and sharing of cups and eating
Hand, Foot, and utensils to someone with HFMD
Mouth Disease 2. Wash hands often around 20 minutes.
3. Disinfect frequently soiled items, such as toys or door knobs
1. Increase intake of fluids.
2. Provide complete bed rest. Reduce/Limit stimulation of patient.
Dengue Fever 3. Avoid eating dark-colored foods that may disguise as blood when
excreted.
4. NO TO ASPIRIN.
1. Bring epinephrine when needed. Educate person on how to use.
2. Put away any identified offending allergen/s that may cause attack.
Anaphylaxis 3. Inform individual of the person's allergy history.
4. Medical Identification Bracelet.
THANKS