Differential diagnosis of a palmar and plantar rashBMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f5542 (Published 19 September 2013) Cite this as: BMJ 2013;347:f5542
- James Hatcher, specialty registrar in infectious diseases and medical microbiology,
- Anna Riddell, specialty registrar in infectious diseases and general internal medicine,
- Joseph Donovan, specialty registrar in infectious diseases and general internal medicine,
- Simon Tiberi, consultant in infectious diseases
- 1Department of Infectious Diseases, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London W12 0HS
A 35 year old man presented with a five day history of fever, cough, rash, and sore throat. He had conjunctivitis and a widespread maculopapular rash on his palms⇑ and soles. The patient was pyrexial, tachycardic, and hypoxic on admission. Serology confirmed measles. After receiving non-invasive ventilatory support and ribavirin, he made a good clinical recovery. Given the recent increase in measles cases nationwide, doctors should be familiar with its clinical presentation to ensure prompt diagnosis, management, and infection control precautions. Measles should be included in the differential diagnosis of any patient presenting with a palmar and plantar rash.
Cite this as: BMJ 2013;347:f5542
Patient consent obtained.