Roseola infantum (Exanthema subitum or sixth disease)

Within last few days I have seen quite a few babies with this disease. The reason I am writing about this is because the rash which occurs in this disease resemble measles (khasra, gobri, haam, asba) so that many parents, especially grandparents mistake this for measles and naturally get worried. Fortunately now days measles do not occur in babies who are vaccinated. However this mild febrile illness with rash is very common.

Roseola infantum typically occurs in babies aged 6 months to 3 years of age .Initially they have fever which can range from 38c to 40 c. Baby also has running nose and mild redness of eyes and at times loose motions. In spite of high temperature baby is well except for slight irritation. On 4th or 5th day the fever subsides and rashes appear. Rash is rose colored and discreet. It appears on trunk and then spreads to face and limbs. After 2 to 3 days the rash disappears. No treatment is required except for paracetamol for fever.

This disease is due to virus HHV-6 and HHV-7. Although in this disease rash resemble measles but we know that this is not measles because in cases of measles, although rash does come after the child has had fever for 3 to 4 days but fever does not subside and lasts for 10 days. Beside that the child is very miserable and ill. The last case I saw was 3 years ago and I hope that I do not see any child suffering from measles any more.
TC
Dr Raj Rani Mitra

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8 Responses to “Roseola infantum (Exanthema subitum or sixth disease)”

  1. Nazir Ahmed Says:

    Thanks a lot for taking out time to write this article. It was very helpful.

    • rajrani Says:

      I am glad you found this article useful.

      I have written blogs on quite a no of topics on WordPress.com. I have also written a book on child care which is available at easybabycare.in.you may find these also useful.

      If there is any other topic that you can suggest about child care that you think parents will like ,then please let me know. I will endeavour to write on that.

      Thanks

  2. wasi syed Says:

    Hi dr
    Thanks alot. I found this article really helpful and I can’t express how better im feeling after going through this article. May God reward you with best of His bounties for ua kindness.
    Tc

    • rajrani Says:

      I am glad that you found my article useful.I hope you have looked through my book on childcare also,available at easybabycare.in.

      Do write to me if you have any queries.

      Tc

  3. Hajira Says:

    Thanks alot.. May god bless u.. My 8 months baby is suffering from same symptoms u wrote.. Very informative blog.. Helped me

    • rajrani Says:

      I am glad that you found my article useful.I hope you have looked through my book on childcare also,available at easybabycare.in.

      Do write to me if you have any queries.

      Tc

  4. Rubina Shaikh Says:

    Thank u so much… it was helpful … as my child is of 4 yrs… he was having fever from 2 days n small red boils have appeared on his hand and on palms..


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