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Picture of the Month

Gary P. Williams, MD; Murray Feingold, MD
Am J Dis Child. 1988;142(1):93-94. doi:10.1001/archpedi.1988.02150010103034.
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The findings listed below are best associated with which of the above figures:

(a) Exposure to this infectious disease may result in the birth of a child with congenital abnormalities.

(b) Gottron's papules can be present on the skin over the knuckles, knees, and elbows in patients with this condition.

(c) This rash may be fleeting and is associated with intermittent fevers, pericarditis, arthritis, and other systemic symptoms.

(d) There are a variety of causes of this condition, including drugs, infectious agents, and foods.

Denouement and Discussion  (a) The association of rubella infection in a pregnant woman and subsequent birth defects in the newborn is well established. The rash of rubella (Fig 3) usually appears as small pink to red macules that begin on the face and spread to the neck, trunk, and limbs, fading as it spreads. Within 24 hours, the lesions coalesce and become maculopapular. The duration of the rash is usually one to three days.


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