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Differential diagnosis of skin rash in Pediatrics

Assessment of rash in children - Differential diagnosis of

  1. Generally, rash in the absence of fever or systemic symptoms is not urgent. However, when fever or signs of illness are present, urgent evaluation and treatment must be considered. The differential diagnosis is extensive, ranging from self-limiting conditions (e.g., roseola) to life-threatening illnesses such as meningococcal disease
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  3. From stool, throat swab, or body fluid (cerebrospinal, skin vesicle, blood); rapid diagnosis possible but generally pursued only in cases associated with significant illness. polymerase chain reaction (PCR) testing: positive for coxsackie virus A16 or enterovirus 71. More polymerase chain reaction (PCR) testin
  4. Well-appearing children without systemic symptoms or signs are unlikely to have a dangerous disorder. The appearance of the rash typically narrows the differential diagnosis. The associated symptoms and signs help identify patients with a serious disorder and often suggest the diagnosis (see Table: Some Causes of Rash in Infants and Children)
  5. ation can help the clinician narrow down a list of more probable etiologies. It is important for physicians to be diligent, as the differential diagnosis can include [
  6. Skin rashes are a common presenting problem for the clinician. The distribution and pattern of skin rashes is especially important in identifying the etiology. The distribution refers to the location of the skin findings, while the patterns refers to the specific anatomic or physiologic arrangements

The rash continued to fade over the next 2-3 days. Discussion Children presenting with rashes are common but certain characteristics may be concerning such as descriptions of petechiae or purpura. Purpura are characterized by non-blanching skin lesions between 3-10 mm in size that are caused by bleeding into the skin. Usually they are reddish. Patients with acute generalized maculopapular rashes and no systemic symptoms are often treated symptomatically without a definitive diagnosis. If the rash does not resolve spontaneously, skin. Rash and fever are some of the most common chief complaints presenting in emergency medicine. The evaluation of skin rashes in the febrile pediatric patient includes a broad differential diagnosis and utilizing the signs and symptoms to identify red flags, such as hemodynamic instability, erythroderma, desquamation, petechiae/purpura, mucous membrane involvement, and severe pain, in the. Skin rashes caused by bacterial, viral, or fungal etiologies are common presenting complaints to primary care clinics, emergency departments, and dermatologists. Although many presenting symptoms overlap, discrete, identifiable factors for each disease can aid in diagnosis and treatment 2. *Associate Professor of Dermatology, Assistant Professor of Pediatrics, Director, Pigmented Lesion Clinic, University of Miami School of Medicine, Miami, FL. 3. 4. †Editorial Board. 1. The differential diagnosis of vesiculopustular rashes in the neonatal period is extensive, with more than 30 diverse, yet clinically similar, conditions

Childhood Rashes Differentials | Pediatric medicine

Rash in Children - Differential Diagnosis - DynaMe

  1. a fever and rash. The age of the patient often assists in narrowing the differential diagnosis. Exanthems associated with a variety of viral illnesses are classically seen in the pediatric age group
  2. areas of healthy skin and result in cut wafer images (Fig. 3). No mucous membranes or internal organs are affected. The smear is generally negative, because in the pediatric population pauci bacillary forms are the most frequent. Figure 2: Granuloma annulare. (a and b) No scaly skin color patches, with raised indurated edges in lower extremities
  3. Fever accompanied by rash is a common finding in pediatric patients. Although, in most cases, the disease is trivial, in some cases it may be the first and/or the sole manifestation of a serious and life- threatening condition in patients. The spectrum of differential diagnosis is broad an
  4. ation, HSP is a reasonable diagnosis. HSP is a vasculitis that can affect the skin, joints, gastrointestinal tract, and kidneys. In a well-appearing child, HSP can be managed on an outpatient basis
  5. Misdiagnosis of critical skin conditions as diaper diagnosis can be harmful to the infant's health, delaying necessary (and occasionally life‐saving) treatment. CONFLICT OF INTEREST. Honoraria and consultancy fees: Procter & Gamble (World Congress of Pediatric Dermatology 2017, ESPD Meeting 2017)
  6. It is wise to develop a systematic approach to rashes in the ED, one that helps you recognize the deadly causes of rash while narrowing the differential diagnosis. Key elements from the history include the distribution and progression of the skin lesions, recent exposures (sick contacts, foreign travel, sexual history and vaccination status.
  7. Common morphologies of neonatal skin diseases include pustules; vesicles and bullae; dry, red, scaly skin; and, less commonly, ecchymoses and crusts. Although many common dermatoses are transient reactions to hormonal and environmental factors such as heat and trauma, infection by bacteria, viruses and fungi can cause both morbidity and mortality

differential diagnosis: In order to understand the clinical approach to history taking and examination of the infant who is suffering from a problematic diaper rash, a differential diagnosis must be held in mind when approaching the problem Differential Diagnosis of Diaper Dermatitis Show all authors. Bernard Cohen, MD 1. diaper rash, erythema, skin disease, contact dermatitis, irritant contact dermatitis, allergic contact dermatitis, Pediatric lichen sclerosus: a review of the epidemiology and treatment options. Pediatr Dermatol

Rash in Children - Differential Diagnosis. TOPIC. IMAGES (189) UPDATES. ABOUT. Follow View in topic. 27 Oct 2017. update to SIMIT/ISC consensus statement on diagnosis and management of skin and soft-tissue infections (J Chemother 2017 Aug) View in topic. 27 Oct 2017. review of common skin problems in newborns (Maedica (Buchar) 2017 Jan. Diagnosis of scalp rashes, Causes of scalp rashes. Authoritative facts from DermNet New Zealand A Rash Diagnosis: Dermatology in ED Michael Edmonds October 26, 2014 FOAM I came across a good review of how to approach an undifferentiated rash or skin lesion in ED over at EMdocs.net , that alluded to a brief diagnostic algorithm to help guide the dermatologically clueless through the differentiation of skin presentations Mild diaper dermatitis often occurs in children before toilet training is complete, particularly from 9 to 12 months of age, and the most common presentation is an irritant contact dermatitis. Diaper dermatitis may account for up to 25% of dermatology visits to health care providers during the first Differential Diagnosis of Diaper Bernard Cohen, MD1 diaper rash, erythema, skin disease, contact dermatitis, irritant contact dermatitis, allergic contact dermatitis, seborrheic dermatitis, infected contact dermatitis, bullous dermatoses, diaper candidiasis, newborn skin care, diapers, methylisothiazolinone, pediatrics Figure 1. Healthy.

Differential diagnosis of the malar rash includes other autoimmune diseases, infectious causes, vitamin deficiencies, and some chromosomal disorders. In dermatomyositis, the rash is caused by inflammation of the muscles and skin and involves the nasolabial folds (Sontheimer, 2004). Infectious causes include Lyme disease and erysipelas caused by. Pediatrics. Plastic Surgery. joint inflammation, skin rash, leukocytosis, and elevated ESR would support this diagnosis, but the adenopathy, hepatosplenomegaly, symmetric polyarthritis, and. He has had four days of fever (temperature ranging from 37-40°C), rash on trunk and extremities, white-colored tongue discoloration, and irritability with decreased oral intake. Temperature on presentation was 39.4°C, examination revealed an erythematous maculopapular rash on the extremities and trunk including soles of the feet If fever is present without a Nikolsky sign, the differential diagnosis includes Kawasaki disease, scarlet fever, erythroderma, and toxic shock syndrome (TSS). Patients with an erythematous rash but without a fever or Nikolsky sign may be having an anaphylactic reaction or a reaction to vancomycin, scombroid, or alcohol exposure

Assessment of rash in children - Differentials BMJ Best

  1. The rash may then wax and wane for a month, with various stimuli increasing its intensity. 1, 15 Once the rash appears, children are no longer infectious. 1 The diagnosis is made clinically, but serologic tests can be used. Treatment of erythema infectiosum is supportive, but parents must keep infected children away from pregnant women and.
  2. Differential Diagnosis Infectious Rashes in Ill Appearing Child. fever is the association of a toxin-mediated exanthem from group A beta hemolytic streptococcus and pharyngitis or a skin wound. The rash is known as scarlatina. Children 4-8 years of age are most affected and typically present with fever, pharyngitis, headache and a rash.
  3. Dr. Stein is an expert in the diagnosis and management of childhood skin diseases, including dermatitis of various types, pigmentary disorders, birthmarks, disorders of hair and nails, infectious.

Generally, rash in the absence of fever or systemic symptoms is not urgent. When fever or signs of illness are present, urgent evaluation and treatment must be considered. The differential diagnosis is extensive, ranging from self-limiting conditions (e.g., roseola) to life-threatening illnesses such as meningococcal disease Leonard R Krilov, MD is a member of the following medical societies: American Academy of Pediatrics, American Pediatric Society, Infectious Diseases Society of America, Pediatric Infectious Diseases Society, Society for Pediatric Research Disclosure: Nothing to disclose Pediatrics. Plastic Surgery. joint inflammation, skin rash, leukocytosis, and elevated ESR would support this diagnosis, but the adenopathy, hepatosplenomegaly, symmetric polyarthritis, and. A rash is a reaction of the skin. It can be caused by many things, such as a reaction by contact to a skin irritant, a drug reaction, an infection, or an allergic reaction.; Many different agents can cause similar-appearing rashes because the skin has a limited number of possible responses

The rash then appears as a pink rash with areas of small, raised lesions. The rash begins on the face and then spreads down to the trunk, arms and legs. The rash on the face usually improves as the rash spreads to the arms and legs. The rash usually fades by the third to fifth day. Lymph nodes in the neck may also become enlarged Differential Diagnosis: Shaft of penis, Rash or multiple lesions. Differential Diagnosis. DDx Strength: Weak. Shaft of penis, Rash or multiple lesions Emergencies. 20. Infectious. 21. Drug Induced. 60. View All. Photos. Default View Photos Sympticons List. Image Size: Medium. All Skin Types Skin of Color Edit Findings. Genital herpes. Nondiaper-related rash — Skin conditions that can affect the diaper area but are not caused by the diaper include seborrhea, atopic dermatitis, bacterial infections, psoriasis, scabies, and others. Seborrheic dermatitis — Seborrheic dermatitis is a skin condition that causes patches of redness and greasy yellow scaly skin in infants

Video: Rash in Infants and Young Children - Pediatrics - Merck

PPT - Common Childhood Rashes in General Practice

Approach to a the Child with a Fever and Rash Learn

We will discuss the differential diagnosis and inpatient management of fever, rash, and arthritis in a young child, focusing on inflammatory conditions. The important features which can help distinguish these conditions include the nature of the rash, associated signs or symptoms, time course of the eruption, and characteristic laboratory and. The differential diagnosis of LN beyond the entities discussed above includes frictional lichenoid eruption, lichenoid drug eruption, LP, and keratosis pilaris. LP is the classic lichenoid eruption. It is rare in children and occurs most frequently in individuals aged 30-60 years ### What you need to know Skin problems around the eyes can be challenging to diagnose because the differential is wide. They can also be difficult to manage because the periorbital skin is sensitive, and there are a multitude of treatment options, with little specific guidance on their use. This practice pointer outlines the common causes of a periocular rash in an adult, and offers an. The differential diagnosis of itchy skin — codes and concepts open Introduction. Itch is defined by a desire to scratch. If the itch is generalised and no primary skin rash observed, check blood count, iron studies, renal, liver and thyroid function, chest X-ray

Rash is a general term applied to any acute or chronic skin eruption, and is the presenting problem or secondary complaint for 20%-30% of pediatric visits to pediatricians, emergency rooms, and primary care practitioners A 3-week-old boy, former 39-week term infant, presented to the emergency department with a rash. One week before presentation, he developed dark, purple papules on his forehead, which then spread to the abdomen and inguinal regions. Throughout this time, he was eating well, gaining weight, developing appropriately, and was afebrile without cough, congestion, or rhinorrhea

What is the Differential Diagnosis of an Infectious Rash

It must be emphasized that non-infectious diseases with skin rash can also present with fever and should be considered in the differential diagnosis. Drug adverse reactions occur in approximately 5% of patients. The rate of cutaneous reactions is highest for antibiotics (1-8%) Various studies have shown up to a 15% likelihood of a meningococcal infection in children with an acute nonblanching rash.29'30 Differential diagnosis of a child with the constellation of high.

The differential for fever and rash in an adult is divided into categories based on the character of the predominant skin lesion. For the purposes of discussion in this chapter we will divide rash into six categories: macules/papules, diffuse erythema, vesicles/bullae, nodules, petechiae/purpura and urticaria • Rash usually fades within a week but may reappear often several time, especially after bathing or exposure to sun up to 4 months. • Diagnosis-confirmed by s.IgM level within 30 days • Treatment -no specific treatment, nor prophylaxis. 57 Differential diagnosis The diagnosis of MC is usually made by examination of the skin, although scraping or performing a biopsy, which is usually unnecessary, can help confirm the diagnosis. 1 Examination with a dermatoscope or magnifier can easily help to confirm the diagnosis quickly, and siblings or other close friends often have a recent. Differential diagnosis Linear lesions of poison ivy dermatitis can usually be distinguished from other dermatitic disorders, such as atopic dermatitis , which tend to be symmetric in distribution 3 and that present in characteristic age-related patterns. 3 Poison ivy can also be confused with insect bite , miliaria rubra , and contact.

What is in the Differential Diagnosis of Purpura

The Generalized Rash: Part I

Because of the potential seriousness of the infection, HSV infections should always be considered as a differential diagnosis when an infant presents with skin sloughing, vesicles or blisters (Ravanfar et al., 2012). When a viral infection is suspected, a culture might be necessary to confirm the findings and provide direction for appropriate. Alternative vesiculobullous lesions presenting in the neonatal period have a differential of both genetic and infectious etiologies. Epidermolysis bullosa is a genetic skin disorder resulting in intraepidermal, junctional, or subepidermal blister formation, and depending on the type, may be secondary to autosomal dominant (Option A) or autosomal recessive (Option B) inheritance patterns (see.

The differential diagnosis of itchy skin | DermNet NZ

Pediatric Rash With Fever: Presentation, Causes, and

•Select one of the four case studies of skin disorders. Analyze the skin disorder in the case you selected including lesion type, lesion distribution, color, and any ancillary findings. •Consider a differential diagnosis for the skin disorder in the case study you selected. Determine the most likely diagnosis for the patient A number of skin conditions that can occur anywhere on the skin may present with distinctive findings in the diaper area. The following discussion will review the most common triggers of diaper dermatitis and contact irritant dermatitis, while focusing on the skin conditions that may be associated or overlap clinically with contact dermatitis. Diaper Rash | Pediatrics Clerkship | The University of Chicago. The eruption has become widespread over a 2-week period. Use your memory of dermatology basics to help make the diagnosis. Papular rash - RightDiagnosis.com. The papular rash, and has areas of scaling. The skin appears edematous and inflamed causing the infant to be irritable ID: 5yo girl brought to the pediatric emergency department by her mother due to 3 days of fever. HPI: The patient's fever was first noted 3 days ago, measured at home to 103°F. It is associated with a moist cough, vomiting, and decreased PO intake. Her mother reports that she appears lethargic and has been... Continue reading

14 Rashes You Need to Know: Common Dermatologic Diagnose

List of 188 causes for Facial rash and Hypotonia related to muscle disorders in pediatrics and Skin bumps, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more Arm rash. Skin rash (arm): Skin rash (arm) is listed as an alternate name or description for symptom: Arm rash. Causes of Arm rash (Skin rash (arm)): See detailed list of causes below. Medical Book Extracts related to Arm rash (Skin rash (arm)): Refer to the excerpt book sections about Arm rash below. Arm rash (medical symptom): An eruption on the skin of the arm However, the differential diagnosis of neonatal violaceous skin lesions should be expanded to include several neoplastic and vascular disorders as well. Such lesions in a neonate may have serious systemic implications and require diagnosis by means of skin biopsy and laboratory evaluation. References 1 Section IX Differential Diagnosis of Pediatric Skin, Face, and Neck Disorders Chapter 66: Rash in Children Chapter 67: Lesions of the Face and Neck in Children Chapter 68: Masses of the Face and Neck in Children Chapter 69: Skin Infection in Children Chapter 70: Fistula/Sinus in Childre

Neonatal Dermatologic Challenges American Academy of

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Exanthema -- diagnosis Child Genre(s): Posters Abstract: Cream poster with black lettering. Title and caption at top of poster. Poster features six illustrations of children with diseases involving rashes, along with explanations of the diseases and close-ups of helpful diagnostic features Here we report two patients ages 4 and 8 who were referred to us with preliminary diagnosis of autoimmune disorder and very similar symptoms of enlarged lymph nodes of several groups, recurrent fever and vasculitic rash on extremities

Allergic contact dermatitis is an inflammation of the skin caused by an allergy to a substance (the allergen). Unlike irritant dermatitis, which occurs at the time of the allergen touching the skin, contact dermatitis occurs 48-72 hours after exposure. The initial exposure does not cause the rash, but it sensitizes the skin to the next exposure SLE can be a mild disease of main skin or joint manifestations or might be a fatal condition. Pediatric SLE is characterized by malar rash, mucocutaneous ulcer formation, renal injury, proteinuria, fever, and lymphadenopathy. Pallor might be also seen because of hemolytic anemia in this group The skin folds in the neck, armpits, elbows, groin and knees are usually a deeper red color compared to the overall rash. After 7-14 days, the rash sloughs off and peeling is usually present The vast majority of skin problems that present in the community are minor in nature. Unfortunately, very occasionally, the development of seemingly innocuous symptoms such as a rash and/or itching can be the presenting symptoms of a life threatening condition—namely anaphylaxis or meningococcal septicaemia. While other clinical conditions can mimic both anaphylaxis and meningitis. the differential diagnosis is broad and includes drug reactions such as toxic-epidermal necrolysis (TEN)/Stevens-Johnson syndrome (SJS), bullous SLE, Rowell syndrome, and TEN-like cutaneous lupus erythematosus (LE). TEN/SJS are severe idiosyncratic reactions characterized by extensive mucocutaneous necrosis with blistering and systemic symptoms

Hypotonia related to muscle disorders in pediatrics and Rash and Skin redness. Hypotonia related to muscle disorders in pediatrics AND Rash AND Skin redness - Causes of All Symptoms; Hypotonia related to muscle disorders in pediatrics OR Rash OR Skin redness - 557 causes. Hypotonia related to muscle disorders in pediatrics Differential Diagnosis of Typical Measles Disease Agent Typical Season Typica l Age Prodrome Fever Duration of Rash (days) Rash Other Signs & Symptoms Measles Paramyxovirus Measles virus Winter, Spring 1 to 20 years 2-4 days of cough, conjuctivitis, and coryza High 5 - 6 Erythematous, irregular size, maculopapular; start Pediatric Visual Dermatological Diagnosis Fernando Vega, M.D. Objectives • Recognize common pediatric dermatologic conditions • Expand differential diagnosisExpand differential diagnosis • Review treatment plans • Identify skin manifestations of systemic disease Terminology • Macules, Papules, Nodules • Patches and Plaque Differential diagnosis Consider other causes when nappy rash presentation is severe, unusual in appearance or not responding to appropriate treatment. More than one condition may occur together. Infections; Candida: erythema in skin folds with satellite pustules; Impetig

Psoriasis is a disease that causes itchy, dry patches on your skin.Up to 40% of people with psoriasis have symptoms before they're 16 years old, and 10% get it before they're 10.. Children can. So your pediatric patients can get metastatic melanoma. Ten percent had lymph node metastasis with no primary lesion. So you have to add metastatic melanoma to the differential diagnosis of the patient who has unilateral enlarged lymph nodes. This is a case study of 59-year-old female patient presenting with a linearly distributed rash on the volar aspect of her right wrist. A multiple-choice clinical question is given, followed by a detailed description of the correct diagnosis. Multiple differential diagnoses are also considered in this detailed patient case A viral exanthem is an eruptive skin rash that is often related to a viral infection. Immunizations have decreased the number of cases of measles, mumps, rubella, and chickenpox, but all viral skin infections require clinical care by a physician or other healthcare professional. The most common childhood viral exanthems include the following This video offers a basic overview on diagnosis of common skin conditions such as Acanthosis Nigricans. Hey Everyone, please join our Facebook group for more..

Pediatric Rashes to Worry About: Slidesho

24-48 hours, no apparent skin damage occurs. DIFFERENTIAL DIAGNOSIS: In order to understand the clinical approach to history taking and examination of the infant who is suffering from a problematic diaper rash, a differential diagnosis must be held in mind when approaching the problem. The questions asked concerning the condition and the focu a. Methods: A prospective cohort study was conducted between April and July 2009 in children aged 1 month to 15 years who lived in a CHIK outbreak area in southern Thailand and who had fever <7 days with arthralgia/arthritis, myalgia or rash. CHIK was confirmed by real-time polymerase chain reaction or the indirect immunofluorescence test. Results: Fifty patients were suspected of having CHIK. Contact dermatitis is a rash on the skin that can be itchy, painful, tender swollen and even blistered. Lice. Head lice are tiny visible insects that infest the hair and scalp causing itchiness and bumps in that area. Eczema (child) Eczema is a common cause of skin rashes in children, causing redness, bumps, swelling, itchiness, and more

Differential diagnoses of diaper dermatitis - Fölster

The differential diagnosis of rash and arthritis is wide, but in most cases a diagnosis can be made on the basis of history, clinical examination, and appropriate blood tests. #### Differential diagnosis of rash and arthritis Several microorganisms can cause both a rash and arthritis, either by direct infection or by immune mediated mechanisms A rash is a reaction in which the skin develops an abnormal texture and other features, such as pain, itching, and fluid discharge. One can come about in response to an allergy, toxin, infection, or larger systemic disease. The appearance can range from an almost incidental swelling of tissue to an outbreak of painful eruptive sores The rash may have originally been maculopapular or vesicular but now appears excoriated and eroded, thus making its identification and diagnosis even more difficult for the emergency physician. Examples of common primary lesions include: papule, macule, nodule, plaque, pustule, vesicle, bulla, petechiae, purpura, scales What is a rash? Definition by Webster's - an eruption of the body Definition - The popular term for a group of spots or red, inflamed skin that is usually a symptom of an underlying condition or disorder. Often temporary, a rash is only rarely a sign of a serious problem. The Free Dictionary by Farle

Because the scabies infection causes such discomfort and can be spread so easily among close contacts, timely diagnosis is important. Of course, that starts with bringing any signs or symptoms of scabies (severe itching, rash, etc.) to your doctor's attention. Most often, she will use clinical judgment alone to make a scabies diagnosis, considering the appearance of your skin and your risk for. Thinking through the differential diagnosis-This table is helpful in distinguishing between common causes of red facial rash. Facial redness (erythema) is caused by cutaneous blood vessel dilation and increased blood flow to the skin. It's more noticeable in people with fair skin broaden or narrow the differential diagnosis. CAUSES FUO remains a diagnostic dilemma for many pediatricians because it is frequently difficult to distinguish clinically between benign and potentially life-threatening causes. The spectrum of FUO causes is broad and includes in-fectious,autoimmune,oncologic,neurologic,genetic,fac This rash (herald patch) may spread as small patches to other parts of the back, chest and neck. The rash may form a pattern on the back that resembles a Christmas tree. Pityriasis rosea usually goes away without treatment in four to 10 weeks, but it can last months. Medicated lotions may lessen itchiness and speed the disappearance of the rash Fever Rash Pediatric Differential Diagnosis Canal Pictures Infection Ear Fungal and female patients.18 years old with COPD and Leicester Cough Questionnaire (LCQ) score of 18. Save more on high quality drugs from Canada with no extra charges or fees! and 80's. Background: Wheezing is a common symptom in infants and toddlers

Vesicular Rashes - Visual Diagnosis and Treatment in

The diagnosis and management of skin disease makes up a large component of primary care and most GPs develop diagnostic and surgical skills to deal with this demand. In recent years, nurses have been more involved in the provision of dermatological care and have had to make diagnoses in circumstances such as a walk-in clinic Fever accompanied by rash is a common finding in pediatric patients. Although, in most cases, the disease is trivial, in some cases it may be the first and/or the sole manifestation of a serious and life threatening condition in patients. The spectrum of differential diagnosis is broad and many different infectious and. Week #5 Michele Moritz Diagnosis and Management of Skin Disorders Case Study 2 An 8-month-old presents to your office with a rash on both cheeks that has progressively worsened over the last week. Mom first noticed the rash after his 6-month checkup. He has generalized dry skin and rubs at his cheeks often. Differential Diagnosis 1. Eczema (Atopic Dermatitis) - A chronic and pruritic.

Skin lesions involving the skin are referred to as exanthems and skin lesions involving mucous membranes are referred to as enanthems. APPROACH TO THE PATIENT . Gather Data A thorough history is extremely important in limiting the differential diagnosis for the adult with fever and rash (Table 1). Involvement in specific activities provides the. The vesicles affect first the oral cavity and then spread to cover extensive areas of the skin. Secondary bacterial infection is common which may lead to constitutional symptoms, malodorous smell of the mucous membrane, and skin lesions. Differential Diagnosis of Pemphigu IX Differential Diagnosis of Pediatric Skin, Face, and Neck Disorders. 66 Rash in Children. Type; Shape; Margination; Arrangement; Distribution; Rash with Fever; Rash without Fever; 67 Lesions of the Face and Neck in Children. Papular Clusters; Vascular Lesions; Pigmented Lesions; Unpigmented Lesions; Pruritic Lesions

Scaly Rashes - Visual Diagnosis and Treatment inPart 3 | Skin Disease Variation | skinsightRashes: Vesicular, Pustular, and Scaly LesionsGlobal Skin Atlas - Diagnosis Detail
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