sometimes referred to as '''Fourth Disease''': These viruses ('''
Enteroviruses ''', '''
Echovirus ''' and '''
Coxsackievirus ''') are the most common causes of "viral rash". Some of these
Eruptions are characteristic of the virus type, but in most cases one must be satisfied with the diagnosis of "
Viral Rash ". Signs and symptoms may include
Fever ,
Nausea ,
Vomiting , and
Diarrhea , along with typical viral symptoms of
Photophobia ,
Lymphadenopathy ,
Sore Throat , and possibly
Encephalitis . The rash may appear at any time during the illness. It is usually generalised. The rash consists of
Erythematous Maculopapules with areas of
Confluence . They may be
Urticarial ,
Vesicular , or sometimes
Petechial . The palms and soles may be involved. The eruptions are more common in children than in adults. Usually, the
Rash fades without
Pigmentation or
Scaling .
The terms "fourth disease" and "Duke's disease" are rarely used today.
- C. Dukes: On the confusion of two different diseases under the name of rubella (rose-rash). Lancet, London, 1900, 2: 89-94.
