Kinderziekten met vlekjes

Stand van zaken
Wim Opstelten, Just A.H. Eekhof en Arie Knuistingh Neven

Childhood diseases with exanthema

Conflict of interest: none declared. Financial support: none declared.

  • Due to high vaccination coverage, measles and rubella (German measles) are now rarely seen in the Netherlands, which makes recognition of these diseases difficult.

  • Measles can also occur in people who have been immunized, as a result of vaccination failure.

  • Swift recognition of measles and rubella is necessary in order to manage them adequately and to prevent spreading of the disease.

  • Measles, rubella, and erythema infectiosum (‘fifth disease’) may result in complications during pregnancy.

  • Measles, rubella, scarlet fever, erythema infectiosum, and roseola (‘sixth disease’) can be difficult to differentiate.

  • In the Netherlands, diagnosis of a patient with measles or rubella, or of more than 1 patient with erythema infectiosum within one institution, must be reported to the local health authority within 1 working day.

  • Exclusion from school or a day-care facility is not required for any if the diseases discussed.