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[Encyclopedia of Differential Diagnosis in Dermatology] Paul Schneiderman, Marc E. Grossman - A Clinician\'s Guide to Dermatologic Differential Diagnosis, Volume 1 The Text (Encyclopedia of Differential Diagnosis in D

EXANTHEM
181
Schneiderman page 100-200.qxd 5/16/2006 6:49 PM Page 181


Typhoid fever – rose spots 
Tyring p.425, 2002
Unilateral laterothoracic exanthema
Vaccinia – vaccinial roseola; transient red rash following
vaccination 
Tyring p.46, 2002; Rook p.1000, 1998, Sixth Edition
Viral exanthems including:
Adenovirus
Arena virus hemorrhagic fevers, including lassa fever
Cowpox – papulovesiculopustular
Coxsackie virus A4,5,6,9,16 B5, B1–6 – macular
Coxsackie A4 – widespread vesicular eruption 
Pediatrics
41:873–882, 1968
Coxsackie A5,16 – hand, foot, and mouth disease – vesicular
Coxsackie A5,9,10,16 – maculopapular-vesicular
Coxsackie A9 – urticarial
Coxsackie A16 – Gianotti–Crosti-like rash 
JAAD 6:862–866,
1982
Coxsackie B5 – morbilliform 
Am J Med Sci 251:141–158, 1966
Cytomegalovirus 
JAAD 18:1333, 1988
Dengue fever (flavivirus) – morbilliform or scarlatiniform
eruption on day 3–4, then becomes petechial; joint and
bone pain with severe backache 
Bull Soc Pathol Exot
86:7–11, 1993
Ebola viral hemorrhagic fever – morbilliform rash 
MMWR
44:468–469, 1995
Echovirus 9 – rubelliform and morbilliform eruptions
Pediatrics 26:12–26, 1960; Echovirus 16 – Boston eruption
JAMA 155:544–548, 1954; Echovirus 2 – rubelliform Am J
Hyg 79:64–73, 1964; Echovirus 11,19 – petechial rash Arch
Dis Child 57:22–29, 1982; Echovirus 6,11,25 – morbilliform
rash 
J Infect 6:67–70, 1983; Echovirus 23,32 – telangiectatic
macular lesions 
Pediatrics 44:498–502, 1969; Echovirus 19 –
punctate macular rash in infants 
Arch Dis Child 51:631–633,
1976; Echovirus 11 – vesicular rash AD 113:1705–1706,
1977; Echovirus 4, 9, 11 – maculopapular–vesicular;
Echovirus 19 – punctate macular
Echovirus 23 and 3 – telangiectatic macular rash
Epstein–Barr virus – infectious mononucleosis – macular or
morbilliform
Gianotti–Crosti syndrome – papular acrodermatitis of
childhood; papules of buttocks and thighs, then extensor
arms, then face 
JAAD 26:207–210, 1992; AD 120:891–896,
1984
Hepatitis A – rash 
Ann DV 110:647–654, 1983; or B –
urticarial
Herpes simplex virus – vesicular
Herpes virus 6 
Lancet 1:1065, 1988
Infectious mononucleosis
Interface dermatitis of AIDS
Lassa fever (arenavirus) – morbilliform or petechial rash with
conjunctivitis 
J Infect Dis 155:445–455, 1985
Marburg virus (filovirus) – maculopapular-vesicular 
S Afr Med
J 60:751–753, 1981
Measles (rubeola) 
Rook p.1089, 1998, Sixth Edition; atypical
measles
Milker’s nodule – papulovesicular
Molluscum contagiosum – popular
Orf – papulovesicular
Parvovirus B19 – morbilliform
Pityriasis rosea 
JAAD 15:159–167, 1986
Reovirus
Respiratory syncytial virus – fine macular eruption 
J Pediatr
65:368–370, 1964
Roseola infantum (exanthem subitum) HHV-6 – macular
NEJM 352:768–776, 2005; Ped Inf Dis J 13:1010, 1994
Rotavirus
Rubella – macular erythema starts on face, spreads rapidly to
trunk and limbs 
Rook p.1084, 1998, Sixth Edition
Tacaribe viruses – Argentinian, Bolivian, and Venezuelan
hemorrhagic fevers – erythema of face, neck, and thorax
with petechiae
Lancet 338:1033–1036, 1991; JAMA
273:194–196, 1994
Togavirus – morbilliform, maculopapular-petechial (Sindbis
BJD 135:320–323, 1996; BJD 80:67–74, 1968; chickungunya
Trans R Soc Trop Med Hyg 49:28–32, 1955; and O’Nyong-
Nyong fever 
Trans R Soc Med Hyg 55:361–373, 1961;
bunyavirus fevers) with joint pains; Ross River virus –
morbilliform eruption and polyarthritis in Australia and Fiji 
Med
J Aust 159:159–162, 1993; Barmah Forest virus – similar to
Ross River virus 
Med J Aust 152:463–466, 1990
Vaccinia – papulovesiculopustular; generalized exanthem
after inoculation 
Rook p.1000, 1998, Sixth Edition
Varicella – vesiculopustular; disseminated herpes zoster
Variola – papulovesiculopustular
Verruca vulgaris – papular
Vesicular stomatitis virus – vesicular
Virus-associated hemophagocytic syndrome – macular
exanthem 
Cancer 44:993–1002, 1979
West Nile virus – Culex salinarius; punctuate (1–2-mm) red
macular, papular, or morbilliform eruption of neck, trunk,
arms, or legs in 20% of patients 
JAAD 51:820–823, 2004;
JAAD 49:979–1000, 2003; Ann Intern Med 137:173–179,
2002; Ann DV 128:656–658, 2001 Lancet 358:261–264, 2001
Yellow fever 
Tyring p.425, 2002
West Nile virus – red macular, papular, or morbilliform eruption
of neck, trunk, arms, or legs 
Ann Intern Med 137:173–179,
2002; Ann DV 128:656–658, 2001
Yersiniosis

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