[Childhood diseases with exanthema].
- Due to high vaccination coverage, measles and rubella (German measles) are now rarely seen in the Netherlands, which makes recognition of these diseases difficult. - Measles can also occur in people who have been immunized, as a result of vaccination failure. - Swift recognition of measles and rubella is necessary in order to manage them adequately and to prevent spreading of the disease. - Measles, rubella, and erythema infectiosum ('fifth disease') may result in complications during pregnancy. - Measles, rubella, scarlet fever, erythema infectiosum, and roseola ('sixth disease') can be difficult to differentiate. - In the Netherlands, diagnosis of a patient with measles or rubella, or of more than 1 patient with erythema infectiosum within one institution, must be reported to the local health authority within 1 working day. - Exclusion from school or a day-care facility is not required for any if the diseases discussed.
Nederlands Huisartsen Genootschap, afd. Richtlijnontwikkeling en Wetenschap, Utrecht, The Netherlands. w.opstelten@nhg.org
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D002648:Child; D003937:Diagnosis, Differential; D016731:Erythema Infectiosum / Q000175:diagnosis / Q000517:prevention & control; D005076:Exanthema / Q000175:diagnosis* / Q000517:prevention & control; D005260:Female; D006801:Humans; D008297:Male; D008457:Measles / Q000175:diagnosis* / Q000517:prevention & control; D009426:Netherlands; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious; D012409:Rubella / Q000175:diagnosis* / Q000517:prevention & control; D012874:Skin Diseases, Infectious / Q000175:diagnosis / Q000517:prevention & control; D014611:Vaccination