A Rash Following a Fever is Almost Always Roseola–If This Occurs, Call Your Doctor

  • Posted by Dr. Jay Gordon
@JayGordonMDFAAP High fevers and neg flu tests? Watch for a rash in a few days… There’s a #measles outbreak in SoCal. #stoptheoutbreaks
2/18/15, 6:27 PM

So, let me show you what a Twitter pediatrician is trying to do here. At last count, we have had about 100 cases of measles among the 38,000,000 of us in California.

During those same two months, my best guess is that we’ve had thousands and thousands of cases of roseola, a benign viral childhood illness.

In his response to my mention of the symptoms in the children I’ve seen today—something I do often–Vince and his retweet buddies are attempting to sow just a little more panic in the minds of the parents whose children get roseola or similar viral illnesses. Just a cheap shot at me and at you.

Yes, measles may have some characteristics in common with roseola, but 99.99% of children with fever followed by a rash will not have measles. Also, remember that children on amoxicillin or Augmentin can develop nasty looking (benign) rashes which resemble measles.

Very strange behavior for an otherwise solid, honest, informative pediatrician like Vince. But I guess measles does that to you.

There are more cases of measles in California than usual and that the disease can be prevented by getting the MMR vaccine for your child age twelve months and over. But don’t let these mean-spirited, hashtag-wielding Twitter docs scare you into believing that death and disease lurk around every corner.

Don’t let anyone scare you away the vaccine by suggesting that large side effects are common because they are not common.

Get the vaccine for your child if you think that this is the right for him/her and your family.

No doctor has answered this second entry:

A truth-telling request for my fellow pediatricians: Have you ever “bent” AAP guidelines for vaccine scheduling at parents’ request?
2/18/15, 12:30 PM

Most pediatricians have complied with a family’s request to stagger vaccines. I still challenge any doctor who has not done this to answer.

I give vaccines every single day, I have gotten vaccinated and I support parents’ rights to vaccinate their children on a schedule that is the best for their children.

Polarizing this discussion and creating just two “camps,” pro-vax and anti-vax is inaccurate and does not respect a parent’s need and right to participate in all health care decisions for their families.