Measles

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Written by Gong Hui
Pediatrics
1min 14sec home-news-image

Difference between infantile acute rash and measles

First, the pathogens: Roseola in infants is caused by human herpesvirus type 6 infection, whereas measles is caused by the measles virus. Second, clinical manifestations: The clinical presentation of roseola includes high fever for three to five days followed by a rash. Typically, by the time the rash appears, the body temperature has already started to decline. The decline of fever concurrent with the appearance of the rash is a major diagnostic feature of roseola in infants. In contrast, measles typically involves high fever for three to four days before the onset of a rash. The rash tends to appear when the body temperature is at its peak, and it takes about 3-4 days for the rash to be fully present. The progression of the rash typically follows a sequence starting from the face, neck, and then the trunk, in a complete order. The primary difference between roseola and measles is the relationship between fever and body temperature: in roseola, the fever subsides and the rash appears after 4-5 days once the body temperature begins to decrease. In measles, the rash appears as the body temperature reaches a peak after 3-4 days of fever. This is the key distinction between roseola and measles.

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Written by Zhu Zhu
Dermatology
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How to prevent measles

Measles is a disease caused by infection with the measles virus, mainly infecting people with weaker resistance, the elderly, or those with certain underlying diseases. For the prevention of measles, it is recommended to first avoid contact with infected patients. Furthermore, it is important to protect susceptible populations, especially women, children, and the elderly with low immunity. Finally, one can regularly take some heat-clearing and detoxifying decoctions or medicines to prevent measles.

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Written by Yao Li Qin
Pediatrics
1min 6sec home-news-image

Is baby rash measles?

Roseola infantum, also known as roseola, is characterized mainly by a fever lasting three to four days followed by the appearance of a rash as the fever subsides. This viral infection is caused by human herpesvirus types 6 and 7. Roseola is not measles, although both conditions involve a high fever followed by a rash. However, during the rash phase of measles, the fever continues to rise, accompanied by other respiratory symptoms. Consequently, the fever in measles lasts much longer compared to roseola, where the rash appears after the fever subsides. The presentation of the rash in roseola is distinctly different from that of measles, hence roseola is not referred to as measles. However, roseola is sometimes known by another name, German measles, which should not be confused with regular measles. The name "German measles" stems from the similarity of the rash in roseola to that of measles.

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Written by Zhang Xian Hua
Pediatrics
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The difference between roseola infantum and measles

The differences between baby roseola and measles mainly include the following points: Firstly, the causative pathogens are different. Baby roseola is caused by the infection of human herpesvirus 6, whereas measles is caused by the measles virus. Secondly, the symptoms of fever differ. Typically, in baby roseola, a rash appears after 3-5 days of fever as the fever subsides; in measles, a rash appears after 3-4 days of fever, during which the temperature may actually increase. Thirdly, the prognosis differs. Baby roseola is a relatively common disease that generally heals gradually as the fever and rash subside. If measles is not treated, it may lead to severe symptoms and potentially leave some sequelae. Lastly, their treatments are also different.

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Written by Zhu Zhu
Dermatology
28sec home-news-image

The differences between measles and chickenpox

Measles and chickenpox, though both are diseases caused by viral infections, have clear differences. Measles is caused by the measles virus, while chickenpox is caused by the varicella-zoster virus. Furthermore, measles generally begins with a fever, and after a few days of fever, red spots and papules appear, whereas with chickenpox, clear vesicular papules appear initially on the trunk or limbs.

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Written by Zhu Zhu
Dermatology
33sec home-news-image

Measles and Urticaria Distinction

Measles and hives have significant differences. Firstly, hives are an allergic disease and are not contagious, whereas measles is a viral infectious disease that can be spread through contact. Secondly, the treatment for hives mainly involves antiallergics, while the treatment for measles mainly includes symptomatic and antiviral therapies. However, regardless of whether it is measles or hives, it is necessary to seek medical attention promptly after onset.

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Written by Zhang Jing
Dermatology Department
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Is there a difference between measles and urticaria?

Measles and hives are two completely different skin diseases. In terms of etiology, measles is caused by a viral infection, while hives are an allergic skin disease. Clinically, measles presents with diffuse red rash all over the body, accompanied by high fever and mucous membrane catarrhal symptoms, such as red eyes, excessive eye discharge, and so on. On the other hand, hives present with wheal-like skin lesions. Wheals refer to pale red or skin-colored raised lesions that can vary in shape and are usually quite large. They typically develop very rapidly and then subside within a few hours, with most wheals disappearing within 24 hours. Hives are also usually accompanied by severe itching.

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Written by Hu Qi Feng
Pediatrics
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What should I do about baby measles?

The main treatments for measles in infants include symptomatic treatment, enhanced care, and prevention of complications. Children with measles should rest in bed, maintain a suitable indoor temperature and air circulation, avoid strong light exposure, and ensure cleanliness of the skin, eyes, and mouth. Encourage them to drink plenty of water and provide easily digestible, nutritionally rich food. For fever, a small dose of antipyretic can be used as appropriate, but rapid fever reduction should be avoided, especially during the initial diagnosis period. Cough may be treated with nebulization and cough suppressants. It is necessary to supplement vitamins. Appropriate treatments should be given for complications, and antibiotics should be provided for secondary infections.

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Written by Zeng Hai Jiang
Pediatrics
55sec home-news-image

The difference between Kawasaki disease and measles

Kawasaki disease and measles are different; Kawasaki disease is an acute systemic vasculitis, and infection may be a trigger. Clinically, it presents with fever, rash, enlargement of cervical lymph nodes, conjunctival congestion, cracked lips, strawberry tongue, and edema of the extremities. During the recovery phase, desquamation occurs, and in severe cases, it affects the coronary arteries, leading to coronary artery aneurysms and thrombotic obstruction. Measles, on the other hand, is a viral infectious disease. Clinically, it also presents with fever and rash. The rash typically appears and increases as the fever and body temperature gradually rise. As the fever caused by measles is gradually controlled, the rash gradually subsides. It does not lead to coronary artery aneurysms or thrombotic obstructions.

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Written by Hu Qi Feng
Pediatrics
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Early symptoms of measles in children

The initial manifestations of measles include: First, fever usually moderate or higher, with varying patterns. Second, symptoms of upper respiratory tract inflammation and conjunctivitis. Along with the fever, symptoms such as cough, sneezing, throat congestion, acute upper respiratory infections, conjunctival congestion, tearing, and photophobia can appear. Third, measles mucosal spots, also known as Koplik's spots, are an early specific sign of measles. They usually appear one to two days before the rash, initially located on the buccal mucosa opposite the lower molars as gray-white spots with a diameter of 0.5-1mm, surrounded by a red halo. They rapidly increase in number, extending over the entire buccal and lip mucosa, and may merge. They disappear one to two days after the rash appears. Fourth, other symptoms include general discomfort, decreased appetite, lethargy, and may also include vomiting and diarrhea.