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Erwin J. Haas, MD; Vernon E. Wendt, MD

JAMA. 1976;236(9):1050.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

ATYPICAL measles is a term used to describe the bizarre clinical manifestations of natural measles infection in children who previously received killed measles virus vaccine.¹ The syndrome consists of a two- to three-day prodrome of fever, headache, malaise, and cough, followed by a maculopapular rash that begins on the wrists and ankles. The rash has vesicular, urticarial, and petechial components; spreads to involve the palms, soles, and trunk; and fades after approximately one week. Peripheral edema and roentgenographic evidence of pneumonitis occur in all children reported. In about one half, pleural effusions develop. The white blood cell and differential cell counts are variable. A similar but less severe illness develops in those immunized with attenuated measles vaccine.²

The following case shows that atypical measles can be seen many years after immunization. Postinfectious arthralgias may be part of the syndrome.

Report of a Case

In a previously well 17-year-old . . . [Full Text PDF of this Article]

Author Affiliations
From the Division of Infectious Diseases (Dr Haas) and the Department of Medicine (Dr Wendt), Butterworth Hospital, Grand Rapids, Mich.

Footnotes
Reprint requests to 4550 Cascade Rd SE, Grand Rapids, MI 49506 (Dr Haas).

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