The diseases of infants and children . ll-knowncrescentic eruption (Fig. 67). These groupings are separated by smallwhite channels of healthy skin, the contrast producing the appearancecharacteristic of this disease. In some portions of the body, especiallythe face, back, buttocks and the inner surface of the thighs, the rashmay become confluent in large areas, the intervening channels disap- MEASLES 343 pearing to a large extent. Even here, however, the pecuHar unevenroughness and lack of uniformity in coloring are quite evident. The individual spots reach their fullest development in about 2
The diseases of infants and children . ll-knowncrescentic eruption (Fig. 67). These groupings are separated by smallwhite channels of healthy skin, the contrast producing the appearancecharacteristic of this disease. In some portions of the body, especiallythe face, back, buttocks and the inner surface of the thighs, the rashmay become confluent in large areas, the intervening channels disap- MEASLES 343 pearing to a large extent. Even here, however, the pecuHar unevenroughness and lack of uniformity in coloring are quite evident. The individual spots reach their fullest development in about 24 hours,and then begin to fade. Pressure by the finger will at first completelyobliterate them for a moment; later a slight discoloration remains. Takenas a whole the rash is at its height on the 2d or 3d day of the eruptiveperiod and then fades, beginning in the situation where it first may consequently be diminishing on the face while not yet at itsheight upon the legs. All traces of the eruption have disappeared by the. Fig. 68.—Facies in with measles, showing the peculiar heavy and swollen appearance of the face. 4th or 5th daj after the first appearance, except a pale-yellowish or l)rown-ish pigmentation which very commonly persists for a decidedly longertime. Other Symptoms of (he Eruptive Stage.—The fever gonerally in-creases with the development of the rash and reaches its maximum withthis upon the 2d or 3d day of the eruptive stage, with only sliglit morn-ing remissions. There are, however, very many exceptions to this rule,and it is of frequent occurrence foi* the temperature to fall almost by crisiseven upon the 2d day of this stage, while the rash is still at its height,or even before it has attained this. All the catarrhal symptoms mean-while persist or increase in severity as the rash develops. On the 2dday of the rash there is present a very decided puffiness of the face,which, with the photophobia, conjunctivitis, severe coryza, obs
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Keywords: ., bookcentury1900, bookdecade1910, booksubject, booksubjectchildren
