. Toxicology 2005; 209: 131-4.
This rapidly progresses to an exanthem
of macules and targetoid lesions, epidermal detachment and mucositis.
likes to involve the outer arms, the outer legs, the buttocks, and the face.
then appears in a centrifugal pattern on the face, arms, hands, legs, and feet.
Evaluation by school nurses identified erythema in areas vigorously rubbed or scratched by students and no other skin lesions or exanthem
. No fever or other signs of systemic illness were present.
Occasionally children may develop a fine pink pruritic, papular, or vesicular exanthem
on the head, neck, and shoulders once griseofulvin is initiated.
If a vesicular exanthem
(eg, skin eruptions or vesicles on the lips, nose, or tongue) is discovered on a patient, physicians must suspect a biological attack and undertake appropriate quarantine measures.
Thus smallpox was still well defined within ICD-9-CM (1996): 050 Smallpox Excludes: arthropod-borne viral diseases (060.0-066.9) Boston exanthem
(048) 50.1 Variola major hemorrhagic (pustular) smallpox Malignant smallpox Purpura variolosa 50.1 Alastrim Variola minor 50.2 Modified smallpox Varioloid 050.9 Smallpox, unspecified (ICD-9-CM, 1996, vol.
If a rash develops and the only signs are a mild, nonpainful pruritic exanthem
, carbamazepine can be continued cautiously or discontinued.
The physician worries about a viral exanthem
, perhaps a viral meningitis-she has seen several cases of it in the community recently.
For example, when Henry Warren contracted scarlet fever the first doctor wrote that the disease was "prevalent among the children of the town and in the married men's Barracks where this soldier was quartered 2 or 3 children are at this moment labouring under the exanthem