DiseasePathogenClassic Presentation & Buzzwords
MeaslesMeasles virus4 C’s (Cough, Coryza, Conjunctivitis, Koplik spots).
Rash: Face Body (Confluent).
Assoc: Vitamin A deficiency.
RubellaRubella virusPost-auricular LAD.
Rash: Face Body (spares 3 days, non-confluent).
Assoc: Congenital (PDA, cataracts, deaf), Adult arthritis.
RoseolaHHV-6High fever breaks Rash appears.
Rash: Trunk Face.
Assoc: Febrile seizures.
Fifth DiseaseParvovirus B19”Slapped Cheek” Lacy/Reticular body rash.
Assoc: Aplastic crisis (Sickle Cell), Hydrops fetalis.
VaricellaVZV”Dewdrop on a rose petal”.
Lesions in different stages of healing. t
Rash: Trunk Extremities.
Scarlet FeverStrep pyogenesSandpaper rash, Strawberry tongue, Circumoral pallor.
Assoc: Strep throat, Desquamation (palms/soles).

Fever-rash relationship

  • Measles (Rubeola): Fever first (with cough, coryza, conjunctivitis) → Rash appears 3-5 days later, spreading from head to toe.
  • Rubella (German Measles): Low-grade fever → Rash appears 1-2 days later, spreading quickly from head to toe.
  • Scarlet Fever: Fever and sore throat begin together → “Sandpaper” rash appears 1-2 days later.
  • Erythema Infectiosum (Fifth): Low-grade fever/prodrome resolves → “Slapped cheek” rash appears days later.
  • Roseola Infantum (Sixth): High fever for 3-5 days → Fever breaks → Rash appears after the fever is gone.
  • Varicella (Chickenpox): Fever and vesicular rash appear at the same time (lesions in various stages).