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Bull, Thomas, M.D.

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

In the
course of the next two or three days, these symptoms will increase in
severity, and perhaps be accompanied by oppression at the chest and
hurried breathing, and towards evening by slight delirium.
On the fourth day, the rash will appear, but the symptoms will be
little, if at all, mitigated; indeed, they will sometimes increase in
severity. The eruption will first be perceived about the head and face,
in the form of small red spots, at first distinct from each other, but
soon coalescing, and forming patches of an irregular crescent-like or
semilunar figure, of a dull red colour, and slightly elevated (giving a
sensation of hardness to the finger), while portions of the skin
intervening between them will retain their natural appearance. At this
time the eruption will also be found on the inside of the mouth and
throat, and the hoarseness will consequently increase.
On the fifth day, the rash usually covers the whole surface of the
body, with the exception of the legs and feet; and is now very vivid on
the face, which is not unfrequently so much swelled, especially the
eyelids, that the eyes are quite closed up, as in small-pox. On the
sixth day, it is fully out on the extremities, and is beginning to fade
on the face. On the eighth, it is fading from all parts; on the ninth,
it is hardly perceptible; and has entirely disappeared on the tenth day
from the commencement of the fever, or the sixth from its own first
appearance.


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