Exantheem of
rash is een aspecifieke term voor
uitslag (
huiduitslag). Zie
ook onder
erythemen en onder
erythemateuze efflorescenties.
DD exanthemen:Viraal
Maculae/papulae: rubeola, rubella, enterovirus, CMV, hepatitis B, erythema infectiosum,
exanthema subitum, adeno-, arbo-, rhabdo-, en reovirus, vaccins (mazelen, rubella),
HIV.
Vesiculae/pustulae: herpes simplex, varicella zoster, vaccinia, enterovirus
(herpangina), hand-foot and mouth disease (A16), orf, mollusca contagiosa, vesicular
stomatitis virus.
Petechiae/purpura: enterovirus (echovirus), viral haemorrhagic
fever, Dengue, adenovirus, gele koorts, atypical measles.
BacterieelMaculae/papulae: groep A Streptokokken (roodvonk,
erysipelas, erythema marginatum), Staphylococcal scalded skin syndrome, Staphylococcal
toxic shock syndrome, subacute bacteriële endocarditis, lues II, typhoid fever,
erysipelothrix, M. leprae, rat bite fever, leptospirosis, meningococcemia, Pseudomonas
sepsis, erythema chronicum migrans.
Vesiculae/pustulae: staphylococcal scalded
skin syndrome, impetigo bullosa.
Petechiae/purpura: sepsis met diffuse intravasale
stolling, meningococcemia, gonococcemia, H. influenza, Pseudomonas sepsis, subacute
bacteriële endocarditis, Listeria monocytogenes.
Rickettsia
Maculae/papulae: Rocky mountain spotted fever, murine typhus.
Vesiculae/pustulae: Rickettsial pox (Russian vesicular rickettsiosis), fièvre
boutonneuze.
Petechiae/purpura: Rocky mountain spotted fever, epidemic typhus
(via luizen).
FungiMaculae/papulae: Candida,
Sporotrichosis, Cryptococcen, tinea corporis, P. versicolor.
ChlamydiaeMaculae/papulae: Psittacosis.
ProtozoaMaculae/papulae: Toxoplasmose, Trichinosis,
scabies.
Petechiae/purpura: Trichinosis, Plasmodia (black water fever).
ImmunologischMaculae/papulae: erythema multiforme,
SLE, dermatomyositis, relapsing polychondritis, reumatoïde arthritis, erythema
nodosum, urticariële vasculitis, leukemia cutis.
Vesiculae/pustulae: erythema
multiforme, psoriasis pustulosa, m. Reiter, m. Sweet, m. Behçet, bowel bypass
syndrome, acne fulminans.
Petechiae/purpura: immuun-trombocytopenische purpura,
thrombotische thrombocytopenische purpura, Henoch-Schönlein, polyarteritis nodosa,
m. Wegener, cholesterol embolie.
Diversen
Maculae/papulae: mucocutaneous lymph node syndrome, pityriasis rosea.
Elke
vorm: geneesmiddelen eruptie.
Auteur(s):dr.
Jan R. Mekkes. Dermatoloog, Amsterdam UMC.