How, then, can these almost identical diseases be distinguished?
The very first step is to be mindful of your child's health. This will allow you to independently determine what the child is sick with. Measles is more aggressive than rubella. With measles, the initial symptoms are fever up to 39 degrees, inflammation of the mucous membrane of the eyes and redness (acute conjunctivitis), photophobia, “barking” cough, runny nose. Rubella begins with malaise, fever, and sometimes joint pain, but sometimes these symptoms may not be present.
With both infections, the occipital, posterior cervical lymph nodes are enlarged. And then I will tell you about the differences between one disease and another. The main thing is to be careful!
If you suspect measles or rubella, look at the condition of the mucous membrane of the child's cheeks. If you see that it is covered with whitish specks that look like semolina, know that your child has measles. He has Belsky-Filatov-Koplik spots on his cheeks - and this is the very first and sure sign of measles! With rubella, such spots never occur.
Next, we observe how the rash appears and what its character is. With measles, the rash appears first on the face - on the first day; on the second day, it captures the torso, arms and hips; on the third day we see a rash on the legs and feet. The rash most often coalesces to form large, red patches. After 3-4 days, the rash begins to fade in the same order in which it appeared. Peeling and pigmentation appear at the site of the spots. With rubella, these symptoms are not observed.
With rubella, the rash first appears on the neck, then falls within a few hours on the body, arms, legs. Sometimes the child complains of itching in the areas of the rash.
Complications of measles: pneumonia, meningoencephalitis, encephalitis - each of them can result in the death of the child. Complications of rubella: arthritis, rubella encephalitis - it is also life-threatening. Rubella is especially dangerous for a pregnant woman - the rubella virus deals a terrible blow to the developing fetus, providing congenital deformities, sometimes incompatible with life.