Recognizing how rubella manifests itself in the initial stage is quite difficult. The disease begins quite atypically. At the beginning of the illness, many parents may even confuse rubella with acute respiratory diseases. You can distinguish rubella infection from many other diseases only if you know the main specific signs.
How to determine the manifestation of the first signs and symptoms of rubella infection?
It is important to note that the rubella rash appears only three weeks after infection. During the incubation period, the disease is not clearly manifested and proceeds in a very mild form. The baby may experience only non-specific symptoms: the body temperature rises to 37-37.5 degrees, a runny nose or nasal congestion may occur during breathing. The behavior of the child varies slightly. Kids can be a little naughty or give up their favorite activities. The explanation for this is the absence at the onset of the disease of the aggressive toxic effects of the virus on the children’s body.
The next important diagnostic symptom that occurs within two weeks from the moment of infection is an increase in different groups of lymph nodes.
The most characteristic is an increase in lymph nodes in the neck. They become dense, in the later stages – even somewhat painful. In babies, the inguinal and axillary lymph nodes are enlarged. When feeling, they are quite large (up to 2 cm), dense.
The most characteristic and prominent sign of rubella is the appearance of a rash. It occurs at the end of the incubation period. When a rash appears, the baby immediately begins to feel much better. It becomes more active, appetite normalizes, sleep improves.
How do rashes look and manifest on the body?
There are more than 50 types of various childhood infections that cause a rash in a child.
For each of the diseases, doctors distinguish the characteristic specific signs of skin rash that help to establish the correct diagnosis.
The following signs of a rash are more characteristic for rubella:
- Step appearance. First, it appears on the head and face, and later it begins to descend throughout the body. The areas with the highest concentration of red elements are located on the buttocks, inner surfaces of the forearms and legs of the child. This is a clear diagnostic sign of rubella (unlike, for example, measles or scarlet fever).
- Single character of skin elements. If you look closely, the rash consists of small single rashes. Rubella red spots. In size usually reach 3-5 mm. They do not itch and do not bring expressed anxiety, as with measles rubella.
- The absence of skin manifestations on the palms and soles. This localization is atypical for infection. Very rarely, rashes on the upper palate are possible. However, they can appear in about every third sick child. In this case, the baby can not eat solid food that can injure sore throat and oropharynx.
- The possibility of palpation of skin rash over the surface of the skin. The specks are easy to touch. They slightly rise above the surface of the skin. Even in the dark, you can determine the appearance of new areas of skin lesions. To the touch, the skin over the spots is warmer than on the unchanged areas.
- The gradual disappearance of skin manifestations. After about a couple of days, the spots begin to fade and slowly fade. It is important to note that after the disappearance of spots on the skin there are no ugly scars or scars. All the rash completely disappears in three to four days (without the use of medicinal ointments or creams). The disease is quite mild.
- Consistent cleansing of the skin from red rashes. The rash runs from the top down. First, the elements on the scalp disappear, then from the neck, abdomen and back. Last but not least, the legs and thighs are cleaned. On the inner surface of the thighs and forearm elements of the rash can persist for quite a long time. This is also an important difference from allergies.
- The appearance of a slight peeling after the resolution of the rash. After the skin is cleared of rashes, there are practically no traces of the past disease on it. In some cases, babies have only a slight peeling, which passes after a few days without any negative consequences.