239
1.671596012870106
Incubation851599012655133195273352420468506576655
period:1541599012678140201240310388435
from201259601284792162272
112317596012870140
to2493596012839109
242637596012870140
days.2811596012871133204256292
2.671839012870106
Prodromal851841012686148218296359428545614653
period:15408410126131193256294364443490
from206683901284592162272
several23718390128108171241304351413451
hours28578390128124194264311365
to3257839012892163
a34558390128116
day.36068390128124186256290
Syndromes39318390128131202270341388458567628683
include4650839012892163225263333404466
fever,51518390128101162232295341376
intoxication,8511080012839110148219288327390452490529599669704
catarrhal15901080012876139176239286333402465503
syndrome,21281080012867138206277324394504564599
rarely27621080012861123170232271342
–31381080012886
syndrome32591080012867138206277324394504564
of38581080012885132
oral40241080012884131192231
mucosa430410800128109177241311366428
lesions47671080012852115168207277348402
(finespotted520410800128601071462152788511321012855125195233273336405
enanthema129113210128109178241310349419482591651
on197713210128117187
the22001321012884154216
soft245113210128100171217256
palate,274313210128115181219281319382417
hyperemia319513210128115186254317364426536572635
of386513210128117164
the40641321012886155218
palatine431713210128116177216279317356426489
arches484113210128109154217287349403
and528013210128108178248
posterior8511563012870141195233296343382452499
pharyngeal138415630128158228291337408476547609671709
wall),212815630128190252291329376411
lymphadenopathy25741563012812619730637344450757764070978084991295010211091
syndrome369815630128143214282353400469579639
(enlargement437315630128135197268306369416485548657717787827
and523515630128151220289
tenderness8511805012839102172242304351420483536591
upon14771805012870140210280
palpation17911805012870133172241303342382451521
of23481805012870116
the25001805012837108170
posterior27051805012870140195233296343380450497
cervical32371805012861124170241279342404442
and37151805012862131201
occipital39501805012871133196234304343381444483
lymph44681805012839109218285356
nodes).48601805012870140211273327375410
3.6712046012870106
Peak8512048012686148218296
period118020480126109171233272343422
(Period16372048012677163225287325395472
of214420480126101148
rashes):23272048012692163217295357411458505
lasts28692046012839101155194249
2-3315220460128101148218
days340520460128100163233286
(maximal37272046012877186246316356467527566
expression43282046012894163233280342396452492561631
of499420460128100147
fever,51762046012878140209272319354
intoxication,8512287012839110148219288327390452490529599669704
catarrhal18372287012862125163225271318388451489
syndromes,26062287012855125194264311382491551606642
appearance35302287012862133202265327374435506568630
of44402287012870117
exanthema).48392287012862131194263303372435544604651686
The8512529012886155218
rash11042529012849111165234
develops13742529012871134203265305374444499
within190925290128102140179249288358
1-523022529012871120190
days25272529012872134204257
after28192529012865111150212259
the31132529012840111172
onset33202529012873142196259298
of36532529012872118
symptoms,38062529012856126235303342413522575610
starting4452252901285795158205242282352422
on49092529012871141
the50852529012841110173
face52922529012849111174235
and8512771012862133202
forehead10892771012847117165227296359421490
and16152771012863132203
spreading18532771012855125172233295365404474544
caudally24322771012864126195266327366405475
to29412771012839110
the30872771012839110172
trunk3294277101284087157227296
and36262771012863133203
extremities.38642771012863134172219281391427467506568623658
The45582771012886155218
rash48112771012848110164234
consists50812771012863132201256295350388443
of8513012012870117
pink10033012012894133203273
macules131230120128132192255325365428482
and18293012012886156226
papules,20903012012893156226296334397452487
which261330120128124194232295364
may301330120128133192264
coalesce,33113012012886156219258320375438499534
resulting38803012012870132187257296335373444513
in44293012012863132
a45973012012886
scarlatiniform47183012012878141203249288350388427497536583652699809
appearance8513254012862133202265327374436506568631
by15163254012879150
the16993254012849120183
second19163254012865127189259328399
day.23503254012880142212246
The26313254012896165228
rash28943254012857120174244
is31723254012850104
located33113254012849119182243282344414
on37603254012880150
the39453254012849118181
extensor41613254012873142180243312367437484
surfaces46793254012865135182229291353415469
of51833254012880127
the53453254012848119180
extremities,8513495012862133172218281390427466505568622657
buttocks,15433495012894163203241312374444498534
and21103495012886156227
back,23733495012892155217286322
but27303495012893163201
is29673495012863117
absent31193495012886156210273343382
on35363495012893163
the37353495012861132194
soles39643495012878148187249303
and43033495012886155225
palms.45633495012894157195304357392
The499034950128109179242
rash52673495012870133187257
fades8513737012847109179242296
in11823737012850119
the13373737012848119181
same15533737012864127236296
order18843737012881128197260307
it2226373701284888
appeared,23493737012875144214277339386448518553
over29373737012879150213258
3-432303737012880128198
days,34643737012879142212265301
without381037370128101140179249318389428
a42733737012873
trace.4381373701284894157219281317
Enanthema47333737012896165228297337406469578638
in54063737012850120
the8513978012839110172
form10593978012848117164274
of13673978012871118
small15203978012856166226265305
isolated1860397801284196166205267306369438
spots23333978012857127197236290
(Forchheimer26583978012849127197244306376445508546655716763
spots)34563978012856127198236290337
may383039780128110170241
appear41053978012865135206268330376
on45173978012872142
the46953978012840109172
hard49023978012872135181251
palate51893978012871133171234273335
and8514220012862133202
oral10894220012870117179217
mucosa.134242200128109176239309365427462
Hepatomegaly184042200128101163232294333404513573644706745816
and26894220012863133203
splenomegaly29284220012853124162225294364472533604666706776
[1,37374220012847117152
14].39254220012870140188222
4.6714463012870106
Convalescence85144660126101171249320389429490545608669747810872
period.17584466012678140201240310387423
Complications85147040126101171288365404443506576622661731810864
in17514702012838107
rubella18944702012874143212275314353415
are23434702012890137199
rare25764702012874136183245
(in28554702012874113183
adults,30724702012890160231271309364400
arthritis35054702012890136174245292330369408462
of40034702012896143
the41814702012865135197
small44144702012881191251290329
joints47794702012866135175245283338
of51524702012897143
the53294702012866136198
hands,8514945012870133202273327362
less124849450128214277331385
commonly18454945012862131240349417488527598
–26544945012870
knee29364945012870140203265
and34114945012862133202
elbow38244945012862100170241342
joints)43774945012839107147216256310357
[1,49444945012847117153
14].53094945012870140187221
Rarely:8515186012894156203265304375412
encephalitis,14785186012862133194257327397459497537575614669704
meningoencephalitis,23975186012810916923927935041948955262268474681588594798610251063110311571192
encephalomyelitis,3804518601286213319425732739745949756767674580684588592496410181053
neuritis,50715186012870132202249287326365419455
polyneuritis,8515427012870141179250318381451499536576614668704
pneumonia,159054270128116187250319428497568606669704
sinusitis,232954270128101140210280335373412451505541
otitis,290554270128116156194233272326361
nephritis,330154270128117180249320366405444483537573
thrombocytopenic3909542701288515520227238244952058265268976083189396210021065
purpura,500854270128116187234303373420482517
damage8515668012870133242302372435
to13225668012839109
the14675668012837108170
pancreas16725668012870132202264311372434488
with219656680128101139178249
the24805668012838108171
development26855668012870133202264302373443552613683723
of34425668012870117
type35955668012837108176239
138695668012870
diabetes39745668012871109172242304343405459
mellitus446856680128110170209248288326397451
[10,49545668012847116191227
14].52145668012870141188222
.8516393012835