Roseola infantum (exanthema subitum) | Trunk, spreads peripherally | Macular to maculopapular | High fever, usually greater than 102°F (39°C), precedes the rash; child is otherwise well-appearing | No | Can be confused with measles; measles rash begins on the face, and the child is usually ill-appearing | 1 to 2 days |
Pityriasis rosea | Trunk, bilateral and symmetric, Christmas tree distribution | Herald patch on the trunk may present first, followed by smaller similar lesions; oval-shaped, rose-colored patches with slight scale | No | Occurs in up to one-half of patients | Often confused with tinea corporis; pityriasis rosea is typically widespread, whereas tinea corporis usually causes a single lesion | 2 to 12 weeks |
Scarlet fever | Upper trunk, spreads throughout body, spares palms and soles | Erythematous, blanching, fine macules, resembling a sunburn; sandpaper-like papules | Occurs 1 to 2 days before rash develops | Usually no | Petechiae on palate; white strawberry tongue; test positive for streptococcal infection | Several weeks |
Impetigo | Anywhere; face and extremities are most com
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