Pediatric Viral Xanthems

Question 1

Fifth DZ

Answer 1

Erythema Infectiosum

Question 2

bilateral lower extremities and may initially look petechial or urticarial prior to becoming classic palpable, non-blanching reddish-purple macules and patches. Heme positive stool

Answer 2

Henoch-Schönlein Purpura

Question 3

“Second disease,” is caused by Group A Streptococcus

Answer 3

Scarlett Fever

Question 4

Rubulavirus

Answer 4

Mumps

Question 5

Newborn baby w/ sensorineural hearing loss, cataracts, hepatosplenomegaly and PDA

Answer 5

German Rubella

Question 6

lacy rash that waxes and wanes over three weeks.

Answer 6

Erythema Infectiosum (fifth DZ)

Question 7

Medication allergy that contraindicates admin. of the measles, mumps and rubella vaccine

Answer 7

Neomycin allergy. The vaccine has trace neomycin

Question 8

Erythemtous sandpaper rash that is blanchable, begins on the face and spreads to the trunk and extremities.

Answer 8

Scarlett fever

Question 9

prodromal symptoms such as fever and malaise before painful oral lesions

Answer 9

herpetic gingivostomatitis

Question 10

Intussusception is a known complication

Answer 10

Henoch-Schönlein Purpura

Question 11

Intraoral lesions are exquisitely painful, especially upon contact with salty or sour substances.

Answer 11

hand-foot-and-mouth disease

Question 12

can cause a reduction in hematopoiesis resulting in a transient aplastic crisis in patients with chronic hemolytic anemia in Sickle Cell patients

Answer 12

Erythema Infectiosum (fifth DZ)

Question 13

diffuse maculopapular rash that starts on the trunk which may spread to the face and extremities.

Answer 13

Roseola-6

Question 14

rash typically starts at the hairline, with formation of macules which progress to fluid-filled vesicles (dew drops on a rose pedal)

Answer 14

Varicella

Question 15

cough, coryza and conjunctivitis along with fever

Answer 15

Rubeola Koplick’s DZ (Measles)

Question 16

Tx for scarlett fever

Answer 16

1st PCN VK. 2nd Macrolides

Question 17

papulovesicular eruptions over arms, hands, legs, and feet. Refuses to eat or drink.

Answer 17

hand-foot-and-mouth disease

Question 18

Circumoral pallor

Answer 18

Erythema Infectiosum (fifth DZ)

Question 19

welling of salivary glands, most typically the parotid glands

Answer 19

Rubulavirus (Mumps)

Question 20

Skin lesions appear over days in crops with multiple lesions of various stages

Answer 20

Varicella

Question 21

Painful oral lesions first followed by non-specific Sx

Answer 21

hand-foot-and-mouth disease

Question 22

Koplick spots

Answer 22

Rubeola (Measles)

Question 23

Tx for hand-foot-and-mouth disease

Answer 23

some children will refuse to drink and require admission for intravenous hydration

Question 24

Strawberry tongue + fever greater or equal to 5-days

Answer 24

Kawasaki’s DZ

Question 25

Slapped-cheek appearance and no fever

Answer 25

Erythema Infectiosum (fifth DZ)

Question 26

Crops of lesions typically appear at the same time with vesicles in various stages of healing

Answer 26

Varicella

Question 27

IgA-mediated vasculitis.

Answer 27

Henoch-Schönlein Purpura

Question 28

Tx for Kawasaki's DZ

Answer 28

high dose aspirin (80 mg/kg/day) and IVIG.

Question 29

fatigue, fever, pharyngitis, POSTERIOR cervical lymphadenopathy, and splenomegaly.

Answer 29

Epstein Barr virus (EBV)

Question 30

Palpable purpura, heme positive stool

Answer 30

Henoch-Schönlein Purpura

Question 31

Maculopapular rash begins on the face and spreads down the trunk and coalesces (comes together) then fades in a head-to-toe direction

Answer 31

Rubeola Koplick's DZ (Measles)

Question 32

simultaneous occurrence of low-grade fever and rash that starts on face and spread down to trunk.

Answer 32

German Rebuella "low fever and rash" DZ

Question 33

Parovirus B19

Answer 33

Erythema Infectiosum (fifth DZ)

Question 34

erythematous rash develops on the extremities and trunk in a lace-like pattern

Answer 34

Erythema Infectiosum (fifth DZ)

Question 35

pinpoint gray spots with surrounding red inflammation

Answer 35

Rubeola Koplick's DZ (Measles) - these are known as Koplick Spots

Question 36

begins abruptly with a maculopapular or maculopapular exanthem that includes the palms and soles, as well as the extremities

Answer 36

hand-foot-and-mouth disease

Question 37

Mononucleosis

Answer 37

Epstein Barr virus (EBV)

Question 38

Posterior cervical lymphadenopathy prior to rash and low grade fever

Answer 38

German Rubella

Question 39

Human Herpesvirus 6 (HHV-6)

Answer 39

Roseola-6: think so many H's = high fever!

Question 40

Coxsackie Virus

Answer 40

hand-foot-and-mouth disease

Question 41

Bilateral conjunctival injection, strawberry tongue, injected cracked lips, polymorphous rash, cervical lymphadenopathy (1 or more greater than 1.5 cm)

Answer 41

Kawasaki's DZ

Question 42

high fever for 3–5 days, which ends abruptly and is followed by the onset of a diffuse fine maculopapular rash on the trunk which may spread to the face and extremities.

Answer 42

Roseola-6

Question 43

Measles

Answer 43

Rubeola - remember this as Rubeola Koplick's DZ

Question 44

Child with low grade fever but doesn't look sick. Has rash and posterior cervical lyphadenopathy

Answer 44

German Rubella

Question 45

Tx for Henoch-Schönlein Purpura

Answer 45

Self-limiting. Bed rest, hydration, NSAIDs

Question 46

teratogenic virus can be transmitted to the fetus through the placenta and is capable of causing serious congenital defects, abortions, and stillbirths

Answer 46

German Rubella

Question 47

Hetrophil antibody test

Answer 47

Epstein Barr virus (EBV)

Question 48

Significant lymphocytosis

Answer 48

Epstein Barr virus (EBV)

Question 49

Pastia’s lines, which are accentuation of linear erythema in the skin folds.

Answer 49

Scarlett fever

Question 50

non-blanching pinpoint macules on his ankles that appear slightly urticarial with joint pain

Answer 50

Henoch-Schönlein Purpura

Question 51

Avoid contact sports due to splenomegaly

Answer 51

Epstein Barr virus (EBV)

Question 52

Aplasitc Anemia

Answer 52

Erythema Infectiosum (fifth DZ)

Question 53

Maculopapular rash after Tx with amoxicillin

Answer 53

Epstein Barr virus (EBV)