Childhood Diseases

Posted by: Sam | 2013-02-03


German measles

Dear Doc

My daughter is 4 yrs. She had her MMR vaccine when required just after her 1st birthday.

A week ago parents were informed that a child had German Measles at the preschool where my daughter attends. My daughter started developing a rash on her cheek on Wednesday evening - a patch the size of a 5 cent coin. I thought it was exzema. By Friday evening it had spread to her forehead and on Saturday morning it had spread to most of her face and part of her neck.

It is now Sunday and although it has not spread to the rest of her body, her face hasn''t shown much improvement. My parents who have seen German Measles in the past both think that my daughter does have it.

I phone my Paed who asked me whether she has a slight fever. Because I never detected a fever and due to my daughter having the vaccine, my Paed seemed to think that it could be something else. He suggested that I take my daughter to him on Monday if the rash hasn''t cleared by then.

I am really worried. Is it possible that a German Measles rash can last for more than 3 days? Everything that I read indicates that it should clear within 3 days!

Should I be concerned?

Many thanks Doc


Expert's Reply



Good question with all the necessary information. Your daughter had the MMR vaccination at 15 months. This is a highly protective vaccination but a booster is required at 6 years. It is unlikely, but not impossible that your daughter would get Rubella (German measles) With German measles children usually have a mild fever (about 37.8C) for 2 days before the rash appears. The rash does start on the face and may spread to the chest. It usually lasts for a maximum of 3 days. Almost always the lymph glands in the back of the neck and especially behind the ears swell up and become enlarged. Many children complain about a bad headache but this is not a constant symptom in young children.<br>It is possible that your daughter has had an allergic reaction to an insect bite, but it would be best to ask your paediatrician to examine her.

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