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There has always been considerable confusion about the disease known as German measles, or röthelu, or rubella. Its very existence has been denied by some, while its diagnosis is often in doubt. The typical röthelu is practically very mild measles, so far as its clinical manifestations go. The disease commences suddenly and the eruption is apparent in from 12 to 24 hours after the onset of the fever. The eruption itself consists of pale rosy red spots, not unlike those of measles in their general appearance, but never of so deep a color. The impression produced by the eruption is often that of a fading measles. In distribution the spots may appear first upon the face, or first upon the chest, from which localities they spread rapidly to the other portions of the body. Particularly upon the chest are they liable to become confluent, while upon the extremities they are
DIAGNOSIS OF RÖTHELU. JAMA. 1892;XVIII(24):755. doi:10.1001/jama.1892.02411280031004
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