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EVALUATING RASH IN FEBRILE CHILDREN

Year 2015, Volume: 78 Issue: 1, 23 - 32, 18.05.2015
https://doi.org/10.18017/iuitfd.d.13056441.2015.78/1.23-32

Abstract

Fever accompanied by rash is a common complaint in pediatric practice. Mostly these conditions are caused by different viruses and self-limited. But, it may also be the first and only sign of serious and life-threatening bacterial infections, like meningococcemia and bacterial sepsis. The most important step in the diagnostic process is a detailed clinical examination. A detailed physical examination can easily lead the physician to the correct diagnosis. The rash in children is often maculopapular and nonspecific. However a petechial rash should be evaluated as meningococcemia until the contrary is proven. Most common diseases presenting with fever and rash are measles, rubella, scarlet fever, erythema infectiosum, roseola infantum, Epstein-Barr virus infection, cytomegalovirus (CMV) infections, Kawasaki disease and for our country Crimean-Congo hemorrhagic fever.

References

  • Biesbroeck L, Sidbury R. Viral exanthems: an update. Dermatol Ther. 2013;26(6):433-8.
  • Dyer JA. Childhood viral exanthems. Pediatr Ann. 2007;36(1):21-9.
  • Ely J, and Stone MS. The generalized rash: Part-I Differentail diagnosis. Am Fam Physician 2010; 81:726-34.
  • Ely J, and Stone MS. The generalized rash: Part-II Differentail 2010;81:735-9. Am Fam Physician
  • Goodyear HM, Laidler PW, Price EH, Kenny PA, Harper JI.Acute infectious erythemas in children: a clinico-microbiological study. Br J Dermatol. 1991;124(5):433-8.
  • Gurion R, Sabella C, Zeft AS.Fever and rash in children: Minerva Pediatr. 2013;65(6):575-85. considerations.
  • Mckinnon HD, and Howard T. Evaluating the febrile patient with rash. Am Fam Physician 2000;62:804- 16.
  • Mancinci A. Exanthems in childhood: An update. Pediatr Ann 1998;27:163-70.
  • Oncü S. Crimean-Congo hemorrhagic fever: an overview. Virol Sin. 2013;28(4):193-201.
  • Pickering LK, Baker CJ, Kimberlin DW, Long SS, eds. Red Book: 2012 Report of the Committee on Infectious Diseases.Elk Grove Village, IL:American Academy of Pediatrics; 2012.
  • Scott LA and Stone MS. Viral exanthems. Dermatology Online Journal 2014;9:4.
  • Schlossberg D. Fever and rash. Infect Dis Clin North Am 1996; 10:101-10.
  • Son MB, Newburger JW. Kawasaki disease. Pediatr Rev. 2013;34(4):151-62.

ÇOCUKLARDA ATEŞLİ DÖKÜNTÜLÜ HASTALIKLAR

Year 2015, Volume: 78 Issue: 1, 23 - 32, 18.05.2015
https://doi.org/10.18017/iuitfd.d.13056441.2015.78/1.23-32

Abstract

Çocuklarda ateşli döküntülü hastalıklar sık görülür ve önem taşır. Birçoğunda etken virüslerdir ve kendilerini sınırlandıran hastalıklardır. Ancak daha az sıklıkta olan bakteriyel sistemik hastalıklar hayati risk taşır. En riskli hastalık menengokoksemi, bakteriyel sepsis vakalarıdır. Ateşli döküntülü hastalıklarda tanıda en önemli adım klinik muayenedir. Klinik muayene ile birçoğunda doğrudan tanıya gidilebilir. Birçoğu makülopapüler döküntülü hastalıklardır. Ateşli bir çocukta peteşiel döküntüler aksi ispat edilinceye kadar menengokoksemi bulgusu olarak kabul edilmelidir. Bu grup içinde kızamık, kızamıkçık, kızıl, suçiçeği, eritema enfeksiyosum, roseola infantum, Epstein-Barr virüs enfeksiyonları, sitomegalovirüs (CMV) enfeksiyonları, Kawasaki hastalığı ve ülkemiz için Kırım-Kongo kanamalı ateşi önemlidir.

References

  • Biesbroeck L, Sidbury R. Viral exanthems: an update. Dermatol Ther. 2013;26(6):433-8.
  • Dyer JA. Childhood viral exanthems. Pediatr Ann. 2007;36(1):21-9.
  • Ely J, and Stone MS. The generalized rash: Part-I Differentail diagnosis. Am Fam Physician 2010; 81:726-34.
  • Ely J, and Stone MS. The generalized rash: Part-II Differentail 2010;81:735-9. Am Fam Physician
  • Goodyear HM, Laidler PW, Price EH, Kenny PA, Harper JI.Acute infectious erythemas in children: a clinico-microbiological study. Br J Dermatol. 1991;124(5):433-8.
  • Gurion R, Sabella C, Zeft AS.Fever and rash in children: Minerva Pediatr. 2013;65(6):575-85. considerations.
  • Mckinnon HD, and Howard T. Evaluating the febrile patient with rash. Am Fam Physician 2000;62:804- 16.
  • Mancinci A. Exanthems in childhood: An update. Pediatr Ann 1998;27:163-70.
  • Oncü S. Crimean-Congo hemorrhagic fever: an overview. Virol Sin. 2013;28(4):193-201.
  • Pickering LK, Baker CJ, Kimberlin DW, Long SS, eds. Red Book: 2012 Report of the Committee on Infectious Diseases.Elk Grove Village, IL:American Academy of Pediatrics; 2012.
  • Scott LA and Stone MS. Viral exanthems. Dermatology Online Journal 2014;9:4.
  • Schlossberg D. Fever and rash. Infect Dis Clin North Am 1996; 10:101-10.
  • Son MB, Newburger JW. Kawasaki disease. Pediatr Rev. 2013;34(4):151-62.
There are 13 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Reviews
Authors

Muhammet Varkal

İsmail Yıldız

Emin Ünüvar This is me

Publication Date May 18, 2015
Submission Date October 27, 2014
Published in Issue Year 2015 Volume: 78 Issue: 1

Cite

APA Varkal, M., Yıldız, İ., & Ünüvar, E. (2015). ÇOCUKLARDA ATEŞLİ DÖKÜNTÜLÜ HASTALIKLAR. Journal of Istanbul Faculty of Medicine, 78(1), 23-32. https://doi.org/10.18017/iuitfd.d.13056441.2015.78/1.23-32
AMA Varkal M, Yıldız İ, Ünüvar E. ÇOCUKLARDA ATEŞLİ DÖKÜNTÜLÜ HASTALIKLAR. İst Tıp Fak Derg. May 2015;78(1):23-32. doi:10.18017/iuitfd.d.13056441.2015.78/1.23-32
Chicago Varkal, Muhammet, İsmail Yıldız, and Emin Ünüvar. “ÇOCUKLARDA ATEŞLİ DÖKÜNTÜLÜ HASTALIKLAR”. Journal of Istanbul Faculty of Medicine 78, no. 1 (May 2015): 23-32. https://doi.org/10.18017/iuitfd.d.13056441.2015.78/1.23-32.
EndNote Varkal M, Yıldız İ, Ünüvar E (May 1, 2015) ÇOCUKLARDA ATEŞLİ DÖKÜNTÜLÜ HASTALIKLAR. Journal of Istanbul Faculty of Medicine 78 1 23–32.
IEEE M. Varkal, İ. Yıldız, and E. Ünüvar, “ÇOCUKLARDA ATEŞLİ DÖKÜNTÜLÜ HASTALIKLAR”, İst Tıp Fak Derg, vol. 78, no. 1, pp. 23–32, 2015, doi: 10.18017/iuitfd.d.13056441.2015.78/1.23-32.
ISNAD Varkal, Muhammet et al. “ÇOCUKLARDA ATEŞLİ DÖKÜNTÜLÜ HASTALIKLAR”. Journal of Istanbul Faculty of Medicine 78/1 (May 2015), 23-32. https://doi.org/10.18017/iuitfd.d.13056441.2015.78/1.23-32.
JAMA Varkal M, Yıldız İ, Ünüvar E. ÇOCUKLARDA ATEŞLİ DÖKÜNTÜLÜ HASTALIKLAR. İst Tıp Fak Derg. 2015;78:23–32.
MLA Varkal, Muhammet et al. “ÇOCUKLARDA ATEŞLİ DÖKÜNTÜLÜ HASTALIKLAR”. Journal of Istanbul Faculty of Medicine, vol. 78, no. 1, 2015, pp. 23-32, doi:10.18017/iuitfd.d.13056441.2015.78/1.23-32.
Vancouver Varkal M, Yıldız İ, Ünüvar E. ÇOCUKLARDA ATEŞLİ DÖKÜNTÜLÜ HASTALIKLAR. İst Tıp Fak Derg. 2015;78(1):23-32.

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