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This brief table includes a comprehensive initial assessment guide for viral infections in pregnancy, covering various aspects of the rash, symptoms, vaccination history, travel, contact, sexual history, pregnancy duration, and drug history to facilitate accurate diagnosis and management.
| Description of Rashes | Rashes are broadly categorized into maculopapular rashes and vesicular rashes. Maculopapular rashes consist of small, red spots that may feel slightly bumpy. Vesicular rashes are small blisters filled with fluid. |
|---|---|
| Maculopapular Rashes | Maculopapular rashes are seen in: - Rubella (German measles) - Parvovirus B19 - Measles - Enterovirus infections |
| Vesicular Rashes | Vesicular rashes are characterized by small fluid-filled blisters and are seen in: - Chickenpox (Varicella) - widespread - Shingles (Herpes Zoster) - localized - Herpes Simplex - localized to mouth or genital regions - Hand, Foot, and Mouth (Enterovirus) - localized to hands, feet, mouth, and occasionally knees |
| General Management | When a pregnant woman reports contact with a rash, distinguishing between maculopapular and vesicular rashes is essential. Obtain information about: - Nature of the rash (e.g., location, speed, date of onset) - Any associated symptoms (fever, sore throat, malaise) suggesting an infectious cause, while itching may indicate a non-viral cause - Vaccination history, specifically two doses of measles,... |
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