Roseola natural history, complications and prognosis: Difference between revisions
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=== Complications === | === Complications === | ||
Roseola is usually benign and self limited. | Roseola is usually benign and self limited. However patients with HIV or immunosuppressed patients may experience reactivation of the virus and signs and symptoms such as:<ref name="pmid13958107">{{cite journal| author=JURETIC M| title=Exanthema subitum a review of 243 cases. | journal=Helv Paediatr Acta | year= 1963 | volume= 18 | issue= | pages= 80-95 | pmid=13958107 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=13958107 }} </ref> | ||
* Seizures ( generally related to fever) | * Seizures ( generally related to fever) | ||
* Aseptic meningitis | * Aseptic meningitis | ||
* Encephalitis | * Encephalitis | ||
* Thrombocytopenic purpura | * Thrombocytopenic purpura | ||
* Bone marrow failure | |||
* Pneumonitis | |||
=== Prognosis === | === Prognosis === |
Revision as of 13:49, 26 May 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Natural history, complications and prognosis
Natural history
- The symptoms of roseola usually starts in the first 2 years of life of an infant. It starts as a high fever 40ºC (104ºF) which lasts for 3 to 5 days, as the fever abates, the child develops a non pruritic blanching papular or maculopapular rash that starts on the neck and progresses downward.[1]
- The rash usually lasts for one or two days but may sometimes disappear within a couple of hours.[1]
Complications
Roseola is usually benign and self limited. However patients with HIV or immunosuppressed patients may experience reactivation of the virus and signs and symptoms such as:[1]
- Seizures ( generally related to fever)
- Aseptic meningitis
- Encephalitis
- Thrombocytopenic purpura
- Bone marrow failure
- Pneumonitis
Prognosis
- The prognosis of roseola is good. Without treatment, most children will recover without sequelae.