Medicine.

Date:
[1919?]
Catalogue details

Licence: In copyright

Credit: Medicine. Source: Wellcome Collection.

    36/454 (page 30)
    on the second or third days, but rises again with the appearance of the rash on the fourth day, remains high while the rash is out, and falls rapidly as it fades at the end of the week. The rash is succeeded by a fine branny desquamation, which lasts about a fortnight, (fee Chart, p. 94.) What are the Characters of the Rash1 It begins on the fourth day at the roots of the hair and on the forehead and face, and spreads thence over the body and limbs. It consists of small, flat blotchy papules raised above the skin, of a purplish red colour, and tending to be grouped in crescentic patches. The eruption imparts a velvety feeling to the skin. Its colour fades on pressure. It remains prominent for about three days, then quickly fades, leaving transitory brownish stains which are succeeded by a slight branny desquamation, most common on the face. A re there any other Diagnostic Indications ? Yes: Koplik’s spots. These are small rounded red spots with a whitish or bluish centre, which appear on the buccal mucous membrane one to three days before the rash. They are commonest at the angles of the mouth and opposite the molar teeth. They must be looked for in a good light, but are present in about 90 per cent, of all cases. What are the Varieties of Measles ? 1. Simple, as above described. 2. Haemorrhagic. Bleeding may occur into the spots, and also from mucous surfaces, or from the kidney. This form is rare. 3. Adynamic. The symptoms are grave from the outset though there are no haemorrhages, and the typhoid state appears early.