Thursday, March 11, 2010

Roseola in da house

What is roseola?

Roseola is a mild viral illness of sudden onset and short duration that most commonly affects young children. Roseola is most common in children 6 to 24 months of age.

What are the first signs and symptoms of roseola?

Infants and toddlers routinely will develop sudden symptoms with a sudden high fever that lasts for three to five days, irritability, bulging "soft spot" on the head (fontanel), swollen glands in the front or back of the neck, runny nose, puffy eyelids (due to swelling with fluid), and mild diarrhea. Within 12-24 hours of the fever breaking, a rash rapidly appears.

Is there a rash with roseola?

Yes, but not in the beginning. When the fever disappears, a rash appears. The rash is mainly located on the neck and body, especially, the abdomen, trunk, and back, but it can also be on the arms and legs (extremities).

The rash appears as separate little raised dots (papules) or as a flat (macular) rash. The skin is mildly red in color and temporarily blanches with pressure. The rash is not itchy or painful. It is not contagious. The rash lasts two to four days and does not return.

What is most remarkable characteristic of roseola?

What is most striking is that the child seems so well despite having a high fever.

What is the course of the disease?

The fever of roseola lasts three to five days followed by a rash lasting about one to two days. Roseola usually resolves without any treatment.

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