This rash has an appearance "all of its own," unlike any other.
Because the fine "meal-like" red points are in such close proximity,
the skin assumes a smooth "lobster red" color that is never to be
forgotten. After three days of increasing redness, the color begins
slowly to fade, and after four or five days of this fading a peculiar
peeling takes place, whose scales vary in size from a small fleck to
casts of the whole of the soles of the feet and the palms of the
hands.
During the height of the disease, the throat is very red, the tonsils
are not only inflamed, but covered over with white patches, the head
aches and the tongue possesses a peculiar coating through which peep
the red points of the swollen papillae, presenting the classic
"strawberry tongue" of scarlet fever.
After ten days the fever disappears and the "real sick" stage of the
disease is in the past.
Each morning of the ten previous days a small dose of Epsom salts is
usually administered and the itching, which so often accompanies the
rash, is relieved by carbolized-water sponge baths.
The nose, throat, and ears receive daily care--sprays to the nose and
gargles to the throat, as well as special swabbing to the tonsils.
The physician in charge of the case will note the urinary findings,
guard the heart and kidneys, prevent the spreading of the scales of
desquamation by frequent rubbing of the skin with oil, and otherwise
work for the future well-being of the patient.
MEASLES
Measles, one of the most common diseases of childhood, is not to be
regarded lightly, for very often its sequelae--running ears, weak
eyes, and bronchial coughs--may prove very serious and troublesome.
Tuberculosis of the lungs not infrequently follows in the wake of
measles. The early symptoms of measles are so mild that often the
child is out of doors, at school, or about his usual play, until the
second or third day of the fever. He was supposed merely to be
suffering from a simple "cold in the head."
On the third or fourth day the patient begins heavy sneezing and wears
a stupid expression; and it is then that the mother ascertains that
his temperature is perhaps 101 to 102 F. He is put to bed and the next
day the rash usually appears. The rash is peculiar to itself, not
usually mistaken for anything else, being a purplish red, slightly
elevated, flattened papule, about the size of a split pea. The
coughing, which is very annoying, usually remains until abo
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