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To the Editor:
—I note in Queries and Minor Notes that several physicians are in a quandary how to distinguish German measles from scarlet fever, while both affections prevail. May I call attention to the following observation made by me and recorded many years ago; namely, whereas in morbilli and scarlet fever the skin of the patient is usually very dry and hot, in German measles the skin is quite moist and often bathed in perspiration. This is due to the fact that in this disease the sweat glands participate in the general engorgement of the superficial glands of the body.
Sheffield HB. SCARLATINA, MORBILLI AND RUBELLA. JAMA. 1926;87(3):191. doi:10.1001/jama.1926.02680030055025
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