275
Clinical8516010126101142183264304368439480
presentation1369601012680143208263327408456527577617689768
The851839012886158222
typical1110839012847120191232297360400
course1548839012871142214263319383
of1969839012878126
measles21428390128109171236292333397453
is2633839012847103
divided2773839012878120192233305369440
into3251839012847119160232
four3520839012855127198248
periods:3804839012878144191232303375433473
incubation,4314839012847119183255326392432472544616654
catarrhal5005839012870134174239287336407471512
(prodromal),8511080012847119168239311360432544606647696733
rash,16211080012848112168240278
and19351080012864135207
pigmentation.21801080012871112184296358430471535575617689761798
The8511320012886158222
incubation11111326012639120183264343414463504575656
period18051326012678142207247319399
is2244132001284097
9-2123781320012871121193265
days.26811320012870135207262300
The8511561012886158222
initial11231567012639119159208249320361
periodof1522156701269115421925933141119721561012882130
the21401561012852123187
disease23651561012882122180244307364428
is28311561012850107
characterized29761561012875146210259323387428492541581645710781
by37951561012882155
a39851561012875
catarrhal40981561012875140180244293341412476517
syndrome46531561012866140210282330402514576
(3-452661561012860132189260
days),8511805012870134207262311349
a12371805012870
fever13451805012853118189253302
of16851805012876125
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and24211805012869140212
the26711805012847119183
development28911805012877142214278318390462574636708749
of36781805012877126
catarrhal38421805012869134174238287335406471511
symptoms:43911805012862135244315356429541596637
rhinitis,50661805012854126166238279320360417455
pharyngitis,8512046012870142206255328398470511552592649687
conjunctivitis,157520460128142213285327398470534575616688728769810866904
photophobia,251520460128150222294336407479551623695736800837
increasing338920460128119191255304368433488529601673
signs410020460128134175247319375
of451220460128151200
intoxication474920460128119191232304375416481545585626698769
(headache,8512287012847119183247318383447518583621
sudden15072287012870142214286350421
deterioration19662287012884148190254303343415463528568609681752
in27562287012853125
health,29182287012884149213253295367404
loss33602287012852124181237
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appetite,38052287012877149220284325365406471509
sleep43492287012869110175238310
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laryngotracheitis.109425290128401051532262963684404815305946597307948348779199761012
A85127710128101
pathognomonic98927710128105170210282354426498569682752824864929
symptom19562771012888160270341383456568
of255927710128104154
the27502771012872144209
catarrhal29972771012897160200265313362434498539
period357427710128103167216257328400
is40122771012872130
Belsky-Filatov-Koplik418027710128127191231288359432488568608649714754826898948105111221194123512751347
spots8513012012855127198239295
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whitish-gray159830120128102172214255295352424475546596659732
dots23653012012880152192249
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stripe42913012012863103153193265330
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membrane85132540128109172284355404469540605
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cheeks18633254012865136200264335392
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the28193254012840112176
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The8513495012886158222
rash11103495012863127183254
appears14023495012879150222286351399455
4-518953495012885137208
days21413495012886150222277
after24563495012879127167232280
the27733495012855127192
onset30023495012886157214278319
of33583495012885135
the35303495012854126190
disease.37583495012885126182247311367437474
The426934950128103173237
rash45443495012863126182254
develops48363495012885150222286326398470526
in53993495012854126
stages851373701285595160232296352
(behind12403737012856128193264305377449
the17273737012848120184
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the53323737012849120184
rash8513978012847111167239
spreads11283978012868140189253317388444
to16103978012853125
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face,19993978012861124189253290
neck,23263978012884148213284322
upper26843978012884156228293341
chest,30623978012877148213269309347
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2nd47683978012884156228
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the53273978012853125189
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covers11284220012867138210274323379
the15454220012842114179
torso;17614220012843114164220292332
by21314220012874147
the23134220012844117181
3rd-4th25314220012875123194249320361433
day,30024220012873137210245
the32844220012844116181
distal35024220012874114171211277317
arms38574220012866114226280
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lower44234220012843115219282331
extremities).47924220012871143183232296408447488528593649698735
The8514461012886158222
rash11104461012849113169241
is1389446101284096
maculopapular152544610128109171236309349421493557628700742806855
and24184461012863134206
initially26624461012841113153194235300340381454
small;31514461012857168230272313354
then35434461012841113177248
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elements40434461012865105169281343415456512
increase45934461012841113177226290353410474
in51054461012839111
size,5254446101285798162226264
merge,85147020128109172221293358396
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become158647020128128193257328440503
brighter,212747020128130178218290362403468516553
taking27174702012898163234275347419
on317347020128129201
a341247020128122
typical35714702012898171241282346411451
appearance—irregularly40604702012812219326532939244050557664070585589594599310571129120012411305135413941467
shaped,8514945012855127192263327398436
with132649450128102141182254
large,16184945012839103152224288325
maculopapular,198149450128109172236309350421493558630702742806856893
bright29114945012871119159231303344
red32934945012847112183
elements.35144945012863103168280342415456512550
The8515185012886158222
pigmentation11515190012678118190310373453502573622662734815
period200351900126117182245287359438
begins248151850128110175246287359415
3-4293451850128109159230
days320251850128111175247302
after354251850128103152192256305
the38855185012878150214
rash41365185012887151207279
appears445151850128103176247311375424480
and496951850128102174246
also525251850128102142198270
progresses8515427012870120191263311376432488552608
in14975427012839111
stages,1646542701285696161233297352390
lasting20735427012840105161202243314386
7-1424975427012871124196268
days28025427012871135208263
[10,31035427012849120193230
15].33705427012872145195231
Measles85156730126133197268324365430486
anergy13755673012678159222287358430
(a18455667012856120
secondary20025667012864128193264336408472521593
immunodeficiency2631566701284816027034041348555762267071177681688195210161089
state)37555667012864106170210275323
persists41155667012880144193249289346386443
for45965667012855127176
a48105667012871
long49195667012847119190262
time,5219566701284889201263301
up8515911012870142
to10315911012863134
112035911012893
month,133459110128133203276317388426
which179759110128125196237301372
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a23645911012886
risk24875911012871111167239
factor27645911012870134198238310359
for31605911012870142191
the33895911012861133197
development36235911012894158230295335407479591653726766
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other46075911012892133205269318
viral49625911012893135183246288
and52885911012884156228
bacterial8516152012870134199239303352392458498
infections13866152012840112161224289329370442514570
and19946152012863134206
complications.22386152012863134246317358399463528568609681753809847
Atypical85163980126101150221302342407478519
course14076398012664136215280336400
:18116392012839
Mitigated85166350128125165207247319383423489560
measles:145166350128109171236292334398453494
develops19836635012872136207273313385456513
in25346635012841113
patients26846635012871135177218282353394450
who317466350128101173245
received34576635012849112177240280352417489
immunoglobulins,3984663501283915126233240548555759867074281485589696810241062
plasma,50836635012872113177233345407445
blood,8516877012870111183255327364
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blood15236877012899139211283355
products19166877012897146217289361425466523
during24766877012898170218258330402
the29166877012866138203
incubation31576877012866138202273345410450491563635
period.38296877012898163211251323395433
The429968770128114184248
duration45856877012898170219283324364436508
of51316877012897146
the53146877012866138203
incubation8517118012839111176247319383423464536608
periods14977118012878143191231303375431
is19667118012847104
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and27497118012872143215
symptoms30027118012862135245316357429541596
subside.36357118012864136208264305377441478
The41507118012895166230
overall44177118012879151215264327369409
duration48647118012878150199263303344416488
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the8517359012839111176
illness1063735901284082123194258314371
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days.20527359012871135207262300