An 11-year-old girl is brought to the clinic by her mother with a 3-day history of an erythematous rash on her trunk and extremities. The mother reports that 1 week ago, the patient developed low-grade fever (38.1°C), rhinorrhea, and mild headache that resolved over 2 days. Two days ago, a bright red facial rash appeared that spared the perioral region. On examination, vital signs are normal except for a temperature of 37.8°C (100°F). The facial rash is well-demarcated and blanching. On her forearms and thighs, the examiner notes a lace-like reticular pattern of erythema with central clearing. She reports mild pruritus but denies oral lesions, arthralgia, or conjunctivitis. Which of the following is the most likely diagnosis?
- A)Rubella
- B)Measles
- C)Erythema infectiosumGABARITO
- D)Scarlet fever
- E)Drug reaction (ampicillin)
Explicação
Erythema infectiosum (fifth disease) caused by parvovirus B19 presents with a classic triphasic pattern: (1) prodrome of fever, rhinorrhea, and headache; (2) slapped-cheek facial rash with characteristic perioral sparing; and (3) reticular lace-like erythema o... Ver explicação completa e trilha adaptativa →