Chapter 163 - Exanthematous Viral Diseases

Question 1

TABLE 163-15
Viral Infections with Characteristic Exanthems

Etiologic agent of Measles (Rubeola)

Answer 1

Paramyxoviridae

Question 2

TABLE 163-15
Viral Infections with Characteristic Exanthems

Etiologic agent of Rubella (3-day measles; German measles)

Answer 2

Togaviridae

Question 3

TABLE 163-15
Viral Infections with Characteristic Exanthems

Etiologic agent of Erythema Infectiosum (fifth disease)

Answer 3

Parvovirus B19

Question 4

TABLE 163-15
Viral Infections with Characteristic Exanthems

Etiologic agent of Epstein-Barr infection

Answer 4

Epstein-Barr viruses 1 and 2 (human herpesvirus 4)

Question 5

TABLE 163-15
Viral Infections with Characteristic Exanthems

Etiologic agent of Human cytomegalovirus

Answer 5

Cytomegalovirus (human herpesvirus-5)

Question 6

TABLE 163-15
Viral Infections with Characteristic Exanthems

Etiologic agent of Exanthem subitum (roseola infantum, sixth disease)

Answer 6

Human herpesvirus-6

Question 7

TABLE 163-15
Viral Infections with Characteristic Exanthems

Etiologic agent of Hand-foot-mouth disease

Answer 7

Coxsackievirus A16 and Enterovirus 71

Question 8

TABLE 163-15
Viral Infections with Characteristic Exanthems

Etiologic agent of Atypical hand-foot mouth disease

Answer 8

Coxsackievirus A6

Question 9

TABLE 163-15
Viral Infections with Characteristic Exanthems

Etiologic agent of Eruptive pseudoangiomatosis

Answer 9

Echovirus 25, echovirus 32

Question 10

TABLE 163-15
Viral Infections with Characteristic Exanthems

Nonpruritic, erythematous macules and papules with craniocaudal spread

Answer 10

Measles (Rubeola)

Question 11

TABLE 163-15
Viral Infections with Characteristic Exanthems

Pruritic pink to red macules and papules on the face, progressing to neck, trunk, and extremities

Answer 11

Rubella (3-day measles; German measles)

Question 12

TABLE 163-15
Viral Infections with Characteristic Exanthems

Confluent, erythematous, edematous plaques on malar eminence (slapped cheek); lesions may recur for weeks or months

Answer 12

Erythema Infectiosum (fifth disease)

Question 13

TABLE 163-15
Viral Infections with Characteristic Exanthems

Itchy, painful, symmetric edema and erythema of the distal hands and feet with abrupt demarcation at the wrists and ankles

Answer 13

Papular purpuric gloves-and-socks syndrome

Question 14

TABLE 163-15
Viral Infections with Characteristic Exanthems

“Ampicillin rash” in individuals treated with antibiotics; Gianotti Crosti syndrome; erythema multiforme, leukocytoclastic vasculitis, erythema nodosum, erythema annulare centrifugum, pityriasis lichenoides, granuloma annulare, cold urticaria

Answer 14

Epstein-Barr virus

Question 15

TABLE 163-15
Viral Infections with Characteristic Exanthems

Symmetrical monomorphic papules or papulovesicles on the face, extensors, and buttocks

Answer 15

Gianotti-Crosti syndrome (popular acrodermatitis of childhood; infantile popular acrodermatitis)

Question 16

TABLE 163-15
Viral Infections with Characteristic Exanthems

Erythema nodosum, morbilliform eruption similar to ampicillin rash of Epstein-Barr virus infection; urticaria

Answer 16

Human cytomegalovirus

Question 17

TABLE 163-15
Viral Infections with Characteristic Exanthems

Rose-colored macules and papules surrounded by a white halo over the neck and trunk

Answer 17

Exanthem subitum (roseola infantum, sixth disease)

Question 18

TABLE 163-15
Viral Infections with Characteristic Exanthems

Vesicular eruption of the palms and soles, with “football-shaped” erosions surrounded by an erythematous halo

Answer 18

Hand-foot-mouth disease

Question 19

TABLE 163-15
Viral Infections with Characteristic Exanthems

Papulovesicles, vesicles, and erosions of the palms, soles, extremities, and perioral; oral mucosa less frequently involved

Answer 19

Atypical hand-foot mouth disease

Question 20

TABLE 163-15
Viral Infections with Characteristic Exanthems

Small papules resembling angiomas on the face and extremities

Answer 20

Eruptive pseudoangiomatosis

Question 21

TABLE 163-15
Viral Infections with Characteristic Exanthems

Pinpoint pink papules with pale halo localized to large flexural region; unilateral and asymmetric distribution; pruritus

Answer 21

Unilateral thoracic exanthema (symmetric periflexural exanthema of childhood)

Question 22

TABLE 163-15
Viral Infections with Characteristic Exanthems

Fever, malaise, conjunctivitis, coryza, cough, Koplik spots

Answer 22

Measles (Rubeola)

Question 23

TABLE 163-15
Viral Infections with Characteristic Exanthems

Low-grade fever, myalgia, headache, conjunctivitis, rhinitis, cough, sore throat, lymphadenopathy; Forchheimer spots

Answer 23

Rubella (3-day measles; German measles)

Question 24

TABLE 163-15
Viral Infections with Characteristic Exanthems

Erythema of the tongue, pharynx and red macules on the buccal mucosa and palate; acute arthropathy in adults

Answer 24

Erythema Infectiosum
(fifth disease)

Question 25

TABLE 163-15 Viral Infections with Characteristic Exanthems Fatigue, low-grade fever, myalgia and arthralgia; enanthem on the lips, soft palate and buccal mucosa

Answer 25

Papular purpuric gloves-and-socks syndrome

Question 26

TABLE 163-15 Viral Infections with Characteristic Exanthems Fever, lymphadenopathy and pharyngitis (Infectious mononucleosis); acute genital ulcers (Lipschütz ulcers) with associated inguinal lymphadenopathy; neoplastic conditions

Answer 26

Epstein-Barr virus

Question 27

TABLE 163-15 Viral Infections with Characteristic Exanthems Malaise, pharyngitis, low-grade fever, and lymphadenopathy

Answer 27

Gianotti-Crosti syndrome (popular acrodermatitis of childhood; infantile popular acrodermatitis)

Question 28

TABLE 163-15 Viral Infections with Characteristic Exanthems Infectious mononucleosis–like symptoms

Answer 28

Human cytomegalovirus

Question 29

TABLE 163-15 Viral Infections with Characteristic Exanthems High fever, irritability, rhinorrhea, and diarrhea; palpebral edema; Nagayama spots

Answer 29

Exanthem subitum (roseola infantum, sixth disease)

Question 30

TABLE 163-15 Viral Infections with Characteristic Exanthems Low-grade fever, malaise, abdominal pain or upper respiratory tract symptoms, sore throat or sore mouth; oral erosions of the tongue, buccal mucosa, hard palate, and oropharynx

Answer 30

Hand-foot-mouth disease

Question 31

TABLE 163-15 Viral Infections with Characteristic Exanthems Fever, sore throat, headache, cough, and diarrhea

Answer 31

Atypical hand-foot mouth disease

Question 32

TABLE 163-15 Viral Infections with Characteristic Exanthems Fever, malaise, headache, diarrhea, and respiratory complaints

Answer 32

Eruptive pseudoangiomatosis

Question 33

TABLE 163-15 Viral Infections with Characteristic Exanthems Mild upper respiratory tract, low-grade fever or GI symptoms

Answer 33

Unilateral thoracic exanthema (symmetric periflexural exanthema of childhood)

Question 34

TABLE 163-15 Viral Infections with Characteristic Exanthems Slapped cheek

Answer 34

Erythema Infectiosum (fifth disease)

Question 35

TABLE 163-15 Viral Infections with Characteristic Exanthems Ampicillin rash

Answer 35

Epstein-Barr virus

Question 36

TABLE 163-15 Viral Infections with Characteristic Exanthems Gianotti-Crosti syndrome

Answer 36

Epstein-Barr virus

Question 37

TABLE 163-15 Viral Infections with Characteristic Exanthems “football-shaped” erosions

Answer 37

Hand-foot-mouth disease

Question 38

TABLE 163-15 Viral Infections with Characteristic Exanthems Koplik spots

Answer 38

Measles (Rubeola)

Question 39

TABLE 163-15 Viral Infections with Characteristic Exanthems Forchheimer spots

Answer 39

Rubella (3-day measles; German measles)

Question 40

TABLE 163-15 Viral Infections with Characteristic Exanthems Infectious mononucleosis

Answer 40

Epstein-Barr virus

Question 41

TABLE 163-15 Viral Infections with Characteristic Exanthems Lipschütz ulcers

Answer 41

Epstein-Barr virus

Question 42

TABLE 163-15 Viral Infections with Characteristic Exanthems Nagayama spots

Answer 42

Exanthem subitum (roseola infantum, sixth disease)