Measles
Rubeola virus
stain of measles
Measles, also called rubeola, is a viral infection best known for its typical skin rash. It is, however, primarily a respiratory infection. The first symptoms are irritability, runny nose, eyes that are red and sensitive to light, hacking cough, and a fever as high as 105 degrees Fahrenheit (40.6 degrees Celsius).

Fever peaks with the appearance of the rash, which typically begins on the forehead, then spreads downward over the face, neck, and body. The child is particularly ill-looking during the first days of the rash. It usually takes about 3 days for the rash to make its way down to the feet. Once the rash appears on the legs and feet, symptoms usually subside within 2 days.

The rash itself looks like large flat red to brown blotches that often flow into one another to completely cover the skin, especially on the face and shoulders. The rash fades in the same order that it appeared, forehead first and feet last. The total time for the rash, from beginning to end, head to toe, is usually about 6 days. As the rash disappears, the healing skin may look brown temporarily, before it sheds in a finely textured peel.

15 Feb 06

Sample Q&A: The Disease

How do I know if I have measles?
Measles usually begins with a fever that lasts for a few days followed by a cough, runny nose, and “pink eye” (conjunctivitis). A characteristic rash inside the mouth (called Koplik spots) may be seen. A rash starts on the face and upper neck, spreads down the back and trunk, then extends to the arms, hands, legs, and feet. After about five days the rash fades in the same order it appeared. As the rash disappears, the healing skin may look brown temporarily, before it sheds in a finely textured peel.
Recommendations of the Advisory Committee on Immunization Practices
National Foundation for Infectious Diseases
Information Paper
Package Insert - Vaccine
Package Insert - Vaccine
American National Red Cross
MMQC-12-1407 29 Jun 12
MERCK / M-M-R II (MEASLES, MUMPS, AND  RUBELLA VIRUS VACCINE, LIVE) / VOLUNTARY RECALL
Video: Dr. Swartzberg’s StoryDr. Swartzberg’s Story (3:58) 03 Nov 11
When a patient has measles a chain of cases ensues.
VIS
Vaccine Information Statement (Interim)
Vaccine Information Statement (Interim)