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Chapter 99. Viral Exanthems

Distribution and Individual Lesions

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Fig. 99-1 A

Macules and papules of measles with associated conjunctivitis.


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Fig. 99-1 B

Macules and papules of measles with associated conjunctivitis.


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Fig. 99-1 C

Macules and papules of measles.


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Fig. 99-2

Lymphadenopathy in a youngster with German measles.


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Fig. 99-3 A

Macules and papules in confluence of measles.


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Fig. 99-3 B

Macules and papules in confluence of measles.


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Fig. 99-4 A

Macules and papules in confluence of German measles (rubella).


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Fig. 99-4 B

Macules and papules in confluence of German measles (rubella).


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Fig. 99-5 A

Macules and papules in confluence of German measles.


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Fig. 99-5 B

Macules and papules in confluence of German measles.


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Fig. 99-6 A

Macules and papules in confluence (“slapped skin” appearance) of Fifth disease (erythema infectiosum), and as discrete macules and papules.


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Fig. 99-6 B

Macules and papules in confluence (“slapped skin” appearance) of Fifth disease (erythema infectiosum), and as discrete macules and papules.


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Fig. 99-7 A

“Slapped cheeks,” and macules and papules in confluence on swollen hands and arms of a child with Fifth disease (erythema infectiosum).


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Fig. 99-7 B

“Slapped cheeks,” and macules and papules in confluence on swollen hands and arms of a child with Fifth disease (erythema infectiosum).


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Fig. 99-8

Macules and papules of Fifth disease.


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Fig. 99-9

Arcuate and annular lesions in Fifth disease.


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Fig. 99-10 A

Macules and papules of Fifth disease.


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Fig. 99-10 B

Macules and papules of Fifth disease.


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Fig. 99-11

“Slapped cheeks” of Fifth disease.


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Fig. 99-12

Widespread macules and papules of Sixth disease (exanthema subitum).


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Fig. 99-13

Widespread macules and papules of exanthema subitum.


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Fig. 99-14

Oblong gray-roofed vesicles surrounded by a rim of erythema of hand, foot, and mouth disease.


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Fig. 99-15

Papules and papulovesicles in hand, foot, and mouth disease.


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Fig. 99-16

Papules and vesicles on the hard palate in hand, foot, and mouth disease.


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Fig. 99-17 A

Erythematous patches, papules, and plaques of viral cause, presumably Coxsackie.


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Fig. 99-17 B

Erythematous patches, papules, and plaques of viral cause, presumably Coxsackie.


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Fig. 99-18 A

The tiny red papules of Gianotti-Crosti syndrome favor the cheeks and the extremities.


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Fig. 99-18 B

The tiny red papules of Gianotti-Crosti syndrome favor the cheeks and the extremities.


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Fig. 99-19

Papules of Gianotti-Crosti syndrome.