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Measles: More than the rash (May 2016)

Burke A. Cunha, MD
Cleveland Clinic Journal of Medicine August 2016, 83 (8) 555-556; DOI: https://doi.org/10.3949/ccjm.83c.08003

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  • TABLE 1

    Nonrash clinical diagnostic findings in adults with measles

    Symptoms
    Head, eyes, ears, nose, and throat
     Headache
     Runny nose
     Sore throat
    Systemic
     Dry cough
     Abdominal pain (pseudoappendicitis if in the right lower quadranta)
    Signs
    Eyes
     Conjunctival suffusion
     Watery eyes
     Lower lid swelling
     Keratitis
    Throat
     Koplik spots
     Dark red buccal mucosa
     Oral ulcers
    Laboratory tests
     Complete blood cell count
     Leukopenia
     Relative lymphopenia
     Thrombocytopenia
     Unelevated erythrocyte sedimentation rate
    Other
     Elevated lactate dehydrogenase
     Elevated ferritin
     Elevated aminotransferases
     Warthin-Finkeldey cells on nasal swab cytology (early only)

    • ↵a If appendectomy is performed, cytology shows Warthin-Finkeldey multinucleated giant cells.

    • Based on information in reference 5.

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