Child health · UKMLA & AKT

Rubella (German measles)

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise rubella (german measles) — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Incubation: 14-21 days; up to 50% subclinical
  • Prodrome (1-5 days): low-grade fever, malaise, mild URTI, conjunctivitis
  • Suboccipital and postauricular lymphadenopathy - highly characteristic, often precedes rash
  • Rash - pink-red discrete maculopapular, starts on face, spreads cephalocaudally to trunk and limbs; fades within 3 days (unlike measles)
  • Forchheimer spots - petechiae on soft palate; supportive but not pathognomonic
  • Arthralgia/arthritis - more common in adult women; small joints of hands and wrists
  • Fever - usually mild (37.5-38.5°C), unlike the high fever of measles
  • Infectious period: 7 days before rash to 7 days after rash onset

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