e space of a few
hours--twenty-four hours at most. The eruption takes the form of
rose-red, round or oval, slightly raised spots--from the size of a pin
head to that of a pea--sometimes running together into uniform
redness, as in scarlet fever. The rash remains fully developed for
about two days, and often changes into a coppery hue as it gradually
fades away. There are often lumps--enlarged glands--to be felt under
the jaw, on the sides and back of the neck, which occur more commonly
in German than in true measles. The glands at the back of the neck are
the most characteristic. They are enlarged in about two-thirds of the
cases.

=Determination.=--The diagnosis or determination of the existence of
measles must be made, in the absence of a physician, on the general
symptoms rather than on the rash, which requires experience for its
recognition and is subject to great variations in appearance, at one
time simulating measles, at another scarlet fever.

German measles differs from true measles in the following points: the
preliminary period--before the rash--is mild, short, or absent; fever
is mild or absent; the cold in the nose and eyes and cough are slight
or may be absent, as contrasted with these symptoms in measles, while
the enlarged glands in the neck are more pronounced than in measles.
The onset of German measles is not so sudden as in scarlet fever and
not accompanied with vomiting as in the latter, while the sore throat
and fever are much milder in German measles. The peeling, which is so
prominent in scarlet fever with the disappearance of the rash, is not
infrequently present. It may be absent. Its presence or absence seems
to depend upon the severity of the eruption. The desquamation when
present is finer than in either measles or scarlet fever.

=Outlook.=--Recovery from German measles is the invariable rule, and
without complications or delay.

=Treatment.=--Little or no treatment is required. The patient should
remain in bed in a darkened room on a liquid diet while fever lasts,
and be isolated from others indoors until all signs of the eruption
are passed. The eyes should be treated with boric acid as in measles;
the diet, during the fever, consisting of milk, broths, thin cereals,
beef juice, raw eggs or eggnog, for adults and older children; while
infants should have their milk mixture diluted one-half with barley
water. A bath and fresh clothing for the patient, and thorough
cleansing and airing