Pediactic Infectious Rashes
                        ===========================

þ Scarlatina
 - found with some people (mostly kids) with strep infections
 - classic is sandpapery slightly maculopapular rash over extremities and
   torso, often with strawberry tongue
 - Pastia's lines (also known as Pastia's sign):  hemorrhagic lines in body
   creases
 - circumoral pallor
 - severe scarlatina also sometimes caused by a staph infection when the staph
   is infected with a specific phage virus: usually also with conjunctivitis
   and oral fissuring and crusting

þ Measles
 - usually with conjunctivitis, photophobia, rhinitis, and fever
 - desquamation

þ German Measles (Rubella)
 - no desquamation

þ Kawasaki's Disease (mucocutaneous lymph node syndrome)
 - arteritis of medium to small vessels
 - conjunctivitis, red lips, palms and soles, desquamation of the fingertips,
   various rashes of trunk, and cervical lymphadenopathy
 - may develop coronary artery involvment (aneurysms, etc.) and myocarditis
 - no person-person transmission
 - likely caused by retrovirus
 - gamma globulin combined with high dose aspirin is somewhat effective in
   preventing cardiovascular complications.

þ Roseola
 - also "roseola infantum" and "exanthem subitum"
 - caused by Herpesvirus Type 6
 - rash comes on as 3-4 days of fever breaks

þ Erythema Infectiousum
 - "fifth disease," after measles (rubeola), German measles (rubella),
 scarlatina, and exanthem subitum (roseola)
 - caused by a parvovirus
 - may cause aplastic crisis if hx of hemoglobinopathy such as sickle cell
   disease; normally have some leukopenia with it
 - classic "slapped cheek" appearance, circumoral pallor, fever, joint aches,
   extremity rash, all occur together