Symptoms of measles in children

summary

What symptom of infantile measles is divided into four different situations: incubation period, prodromal period, rash period and recovery period. Different stages have different manifestations. The rash period of infantile measles lasts about three days, and the incubation period is longer. Here is the article about what symptom of infantile measles and what related problems parents should pay attention to.

Symptoms of measles in children

First: incubation period: children measles incubation period is generally 10-14 days, also as short as 1 week or so. There may be slight temperature rise during the incubation period.

Second: prodromal period: the prodromal period of measles in children is also called pre eruption period, which is generally 3-4 days. The main manifestations of this stage are similar to the symptoms of upper respiratory tract infection: ① fever, seen in all cases, mostly moderate fever; ② cough, runny nose, tears, pharyngeal congestion and other catarrhal symptoms, with eye symptoms prominent, conjunctival inflammation, eyelid edema, increased tears, photophobia, lower eyelid edge has an obvious congestion line (Stimson line), which is very helpful for the diagnosis of measles in children. ③ Koplik spots, which appeared 24-48 hours before eruption, were 1.0 mm in diameter gray white spots with red halo outside. They were only seen on the buccal mucosa facing the lower molar at first, but increased rapidly in one day. They could involve the whole buccal mucosa and spread to the lip mucosa. The mucosal rash disappeared gradually after the appearance of the rash, leaving dark red spots; ④ Occasionally, skin urticaria, infantile measles, indistinct macular rash or scarlet fever like rash disappear when a typical rash appears; ⑤ some cases may have some non-specific symptoms, such as general discomfort, loss of appetite, mental depression, etc. Infants may have digestive symptoms.

Third: rash stage: children rash stage, more than 3-4 days after fever rash. The temperature can suddenly rise to 40-40.5 ℃. The rash begins with a sparse and irregular red macular papule. The skin between the rashes is normal. It begins at the back of the ear, neck and along the hairline edge. It develops downward within 24 hours and spreads to the face, trunk and upper limbs. On the third day, the rash affects the lower limbs and feet. In severe cases, the rash often fuses with skin edema and facial swelling and deformation. Most of the rashes were discolored, but some had ecchymosis. There are lymphadenopathy and splenomegaly in the whole body, which last for several weeks. Mesenteric lymphadenopathy can cause abdominal pain, diarrhea and vomiting. The pathological changes of appendiceal mucosa in children with measles can cause appendicitis symptoms. Most of them were transient and disappeared after fever regression, which had nothing to do with the complications of central nervous system. At this stage, there was moist rale in the lung, and X-ray examination showed increased lung markings.

matters needing attention

3-4 days after the eruption, the rash began to subside in the same order as that at the time of eruption; in the absence of complications, appetite, spirit and other symptoms also improved. After the rash subsided, the skin remained bran like desquamation and brown pigmentation, and recovered in 7-10 days.