We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
Article |

Picture of the Month

Evan G. Pattishall III, MD; Murray Feingold, MD
Am J Dis Child. 1985;139(8):795-796. doi:10.1001/archpedi.1985.02140100057029.
Text Size: A A A
Published online

Denouement and Discussion 


Manifestations  Varicella is usually a mild viral illness characterized by a vesicular pruritic rash that appears in crops. The rash begins as a macule that then develops into a vesicle on an erythematous base described as a "dewdrop on a rose petal." The vesicles, which appear on the skin or mucous membranes, crust and usually heal with little, if any, scarring. Rarely, children with varicella may develop complications such as a secondary bacterial infection, hemorrhagic varicella, bullous lesions, pneumonia, hepatitis, encephalitis, Reye's syndrome, myocarditis, and arthritis. Previous reports have suggested that individuals who develop varicella while receiving steroid therapy are at risk for developing a more fulminant course marked by prolonged duration of the disease, higher temperatures, more extensive rash, and possibly disseminated infection and death. Steroid therapy has also been reported to reactivate varicella in patients who have recently recovered from the illness. However, recent


Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment



Our websites may be periodically unavailable between midnight and 04:00 ET Thursday, July 10th, for regularly scheduled maintenance.

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.