Dukes' disease

Dukes' disease
Fourth disease
Classification and external resources
ICD-10 B09
ICD-9 057.8

Dukes' disease or fourth disease is an exanthem.

It is named for Clement Dukes.[1][2]

Some of these eruptions are characteristic of the causative virus, but in most cases one must be satisfied with the diagnosis of viral rash.

It was never associated with a specific pathogen,[3] and the terms "fourth disease" and "Dukes' disease" are rarely used today.

In 1979 Keith Powell proposed equating it with the condition currently known as Staphylococcal scalded skin syndrome.[4][5]

Presentation

Signs and symptoms may include fever, nausea, vomiting, and diarrhea, along with typical viral symptoms of photophobia, lymphadenopathy, sore throat, and possibly encephalitis. The rash may appear at any time during the illness. It is usually generalised. The rash consists of erythematous maculopapules with areas of confluence. They may be urticarial, vesicular, or sometimes petechial. The palms and soles may be involved. The eruptions are more common in children than in adults. Usually, the rash fades without pigmentation or scaling.

References

  1. ^ Dukes-Filatov disease at Who Named It?
  2. ^ C. Dukes: On the confusion of two different diseases under the name of rubella (rose-rash). Lancet, London, 1900, 2: 89-94.
  3. ^ Morens DM, Katz AR (September 1991). "The "fourth disease" of childhood: reevaluation of a nonexistent disease". Am. J. Epidemiol. 134 (6): 628–40. PMID 1951267. http://aje.oxfordjournals.org/cgi/pmidlookup?view=long&pmid=1951267. 
  4. ^ Weisse ME (January 2001). "The fourth disease, 1900-2000". Lancet 357 (9252): 299–301. doi:10.1016/S0140-6736(00)03623-0. PMID 11214144. http://linkinghub.elsevier.com/retrieve/pii/S0140-6736(00)03623-0. 
  5. ^ Powell KR (January 1979). "Filatow-Dukes' disease. Epidermolytic toxin-producing staphylococci as the etiologic agent of the fourth childhood exanthem". Am. J. Dis. Child. 133 (1): 88–91. PMID 367152. 

Wikimedia Foundation. 2010.

Игры ⚽ Нужно сделать НИР?

Look at other dictionaries:

  • Duke's disease — Dukes disease or fourth disease is a viral rash most commonly caused by enteroviruses, Echoviruses, and members of the coxsackievirus family. Some of these eruptions are characteristic of the causative virus, but in most cases one must be… …   Wikipedia

  • Disease — Illness or sickness often characterized by typical patient problems (symptoms) and physical findings (signs). Disruption sequence: The events that occur when a fetus that is developing normally is subjected to a destructive agent such as the… …   Medical dictionary

  • Dukes — Clement, English physician, 1845–1925. See D. disease, Filatov D. disease. Cuthbert E., British pathologist, 1890–1977. See D. classification …   Medical dictionary

  • exanthema — A skin eruption occurring as a symptom of an acute viral or coccal disease, as in scarlet fever or measles. SYN: exanthem. [G. efflorescence, an eruption, fr. anthos, flower] …   Medical dictionary

  • parascarlatina — SYN: Filatov Dukes disease …   Medical dictionary

  • scarlatinella — SYN: Filatov Dukes disease. [dim. of scarlatina] …   Medical dictionary

  • scarlatinoid — 1. SYN: scarlatiniform. 2. SYN: Filatov Dukes disease. [scarlatina + G. eidos, resemblance] * * * scar·lat·i·noid (skahr latґĭ noid) scarlatiniform …   Medical dictionary

  • Germany — /jerr meuh nee/, n. a republic in central Europe: after World War II divided into four zones, British, French, U.S., and Soviet, and in 1949 into East Germany and West Germany; East and West Germany were reunited in 1990. 84,068,216; 137,852 sq.… …   Universalium

  • Wikipedia:Featured article candidates — Here, we determine which articles are to be featured articles (FAs). FAs exemplify Wikipedia s very best work and satisfy the FA criteria. All editors are welcome to review nominations; please see the review FAQ. Before nominating an article,… …   Wikipedia

  • Italy — /it l ee/, n. a republic in S Europe, comprising a peninsula S of the Alps, and Sicily, Sardinia, Elba, and other smaller islands: a kingdom 1870 1946. 57,534,088; 116,294 sq. mi. (301,200 sq. km). Cap.: Rome. Italian, Italia. * * * Italy… …   Universalium

Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”