Scarlet Macularpapular Fine puncatate Strawberry 12hrs -7 12hrs post Can be passed during fever rash with tongue, perioral days exposure to childbirth. sandpapery pallor, tonsillitis 12hrs post Rare feel, followed fever Miscarriage, early labour or by peeling still birth Macularpapular check Well child can 13-18 days 10 before to <20/40 9% excess foetal Fifths ‘slapped disease appearance last weeks onset of rash loss, 3 % develop Hydrops like rash with 50% mortality. ’lace on arms and face Chicken Vesicular Occurs in crops Shallow ulcers 10-21 /7 48 hours Severe illness in mothers pox on face and of the mucous before rash 5x greater risk of trunk Papules, membrane and until all pneumonitis, vesicles and lesions are 0-20/52 congenital varicella crusts are crusted (0.4-2%) present 13 -14 weeks shingles in infancy, (1-2%) 4 days pre to 2 days post severe neonatal varicella (20%) Urticaria Wheals Well Rarely circumscribed accompanied Itchy wheals of by wheezing or different sizes anaphylactic shock
Scarlet fever Macularpapular Fine puncatate rash with sandpapery feel, followed by peeling Strawberry tongue, perioral pallor, tonsillitis 12hrs -7 days 12hrs post exposure to 12hrs post fever Can be passed during childbirth. Rare Miscarriage, early labour or still birth Fifths disease Macularpapular ‘slapped check appearance ’lace like rash on arms and face Well child can last weeks 13-18 days 10 before to onset of rash <20/40 9% excess foetal loss, 3 % develop Hydrops with 50% mortality. Chicken pox Vesicular Occurs in crops on face and trunk Papules, vesicles and crusts are present Shallow ulcers of the mucous membrane 10-21 /7 48 hours before rash and until all lesions are crusted Severe illness in mothers 5x greater risk of pneumonitis, 0-20/52 congenital varicella (0.4-2%) 13 -14 weeks shingles in infancy, (1-2%) 4 days pre to 2 days post severe neonatal varicella (20%) Urticaria Wheals Well circumscribed Itchy wheals of different sizes Rarely accompanied by wheezing or anaphylactic shock