Comparison Table of Viral Exanthems

Comparison Table of Viral Exanthems

 Condition Incubation period  Prodrome Rash Other Dx features

Measles (Rubeola)

9-14 days Fever Cough, Conjunctivitis Rhinitis Maculopapular – face to extremities Koplik spots in mouth


Mumps (Parotitis)

12-25 days  

Pain/swelling in front of/below ear




(German Measles)

14-21  None  

 Maculopapular – rapid spread from head to toe


Teratogenic, “Blueberry muffin baby”



Varicella (Chicken Pox)



10-21 days



Vesicular, erythematous rash on torso, then face and extremities



Dew drop on a rose petal




(Roseola Infantum)

10-14 days Fever (3-4 days) Pink, macular rash  

Fever resolves then rash appears



Erythema Infectiosum (Fifth Disease, Slapped Cheek)


 4-14 days




Red facial rash “slapped cheek”, lacy pink macular rash on torso



Kawasaki Disease (Mucocutaneous lymph node syndrome)

Unknown  Fever Adenopathy  Rash on trunk and extremities Red palms, soles Fever > 5days and 4 of the following:

  1. Conjunctivitis
  2. rash
  3. mucosal changes
  4. edema of hands/feet
  5. cervical adenopathy

The Daily PANCE and PANRE

Get 60 days of PANCE and PANRE Multiple Choice Board Review Questions delivered daily to your inbox. It's 100% FREE and 100% Awesome!

You have Successfully Subscribed!