Duke's disease
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| Fourth disease Classification and external resources | |
| ICD-10 | B09. |
|---|---|
| ICD-9 | 057.8 |
Dukes' disease or fourth disease is a viral rash most commonly caused by enteroviruses, Echoviruses, and members of the coxsackievirus family.
Some of these eruptions are characteristic of the causative virus, but in most cases one must be satisfied with the diagnosis of viral rash. Signs and symptoms may include fever, nausea, vomiting, and diarrhea, along with typical viral symptoms of photophobia, lymphadenopathy, sore throat, and possibly encephalitis. The rash may appear at any time during the illness. It is usually generalised. The rash consists of erythematous maculopapules with areas of confluence. They may be urticarial, vesicular, or sometimes petechial. The palms and soles may be involved. The eruptions are more common in children than in adults. Usually, the rash fades without pigmentation or scaling.
The terms "fourth disease" and "Dukes' disease" are rarely used today.
References
- C. Dukes: On the confusion of two different diseases under the name of rubella (rose-rash). Lancet, London, 1900, 2: 89-94.
External links
- Morens DM, Katz AR (1991). "The "fourth disease" of childhood: reevaluation of a nonexistent disease". Am. J. Epidemiol. 134 (6): 628-40. PMID 1951267.
- Weisse M (2001). "The fourth disease, 1900-2000.". Lancet 357 (9252): 299-301. PMID 11214144.
- Dukes-Filatov disease at Who Named It
Exanthema | |
|---|---|
| Viral | Measles (1st disease) - Rubella (3rd disease) - Duke's disease (4th disease) - Slap cheek (5th disease) - Roseola (6th disease) |
| Bacterial | Scarlet fever (2nd disease) |
