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SALIENT POINTS:


Fever and upper respiratory prodrome before rash.


Rash starts 2-3 days after onset of fever on head and progresses down
(centripetally) but much different appearance (no vesicles) and lasts for a week; pruritic.


3 C’s: conjunctivitis, coryza, cough.


Koplik spots on buccal mucosa on third or fourth day of illness.

Extremely rare in this country even if not immunised - herd immunity.


ANSWER 1

Measles

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BOF 22 Jan 2016

By Wong Chen Seong