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Bull, Thomas, M.D.

"The Maternal Management of Children, in Health and Disease."


These symptoms are followed on the second day (in the majority of
instances) by the rash. This first appears in numerous specks or minute
patches of a vivid red colour on the face, neck, and chest. In about
four-and-twenty hours it becomes gradually diffused over the whole
trunk. On the following day (the third) it extends to the upper and
lower extremities, so that at this period the whole surface of the body
is of a bright red colour, hot and dry. The efflorescence, too, is not
always confined to the skin, but occasionally tinges the inside of the
lips, cheeks, palate, throat, nostrils, and even the internal surface
of the eyelids. Sometimes the efflorescence is continuous and
universal; but more generally on the trunk of the body there are
intervals of a natural hue between the patches, with papulous dots
scattered over them, the colour being most deep on the loins and
neighbouring parts, at the flexure of the joints, and upon those parts
of the body which are subjected to pressure. It is also generally most
vivid in the evening, gradually becoming paler towards morning.
The eruption is at its height on the fourth day;--it begins to decline
on the fifth, when the interstices widen, and the florid hue fades;--on
the sixth, the rash is very indistinct; and on the eighth day it is
wholly gone.


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