Maladie de Dukes
La maladie de Dukes ou quatrième maladie (éruptive du nourrisson) est liée aux virus : enterovirus, echovirus et virus coxsackie. Les termes de « maladie de Dukes » ou de « quatrième maladie » ne sont plus guère utilisés de nos jours. Le nom de la quatrième maladie provient du fait qu'à l'époque où l'on a voulu établir une liste des maladies provoquant un exanthème infantile, elle a été la quatrième à être énumérée.
Texte anglais à traduire :
Duke's Disease sometimes referred to as Fourth Disease: These viruses (enteroviruses, echovirus and coxsackievirus) are the most common causes of "viral rash". Some of these eruptions are characteristic of the virus type, but in most cases one must be satisfied with the diagnosis of "viral rash". Signs and symptoms may include fever, nausea, vomiting, and diarrhea, along with typical viral symptoms of photophobia, lymphadenopathy, sore throat, and possibly encephalitis. The rash may appear at any time during the illness. It is usually generalised. The rash consists of erythematous maculopapules with areas of confluence. They may be urticarial, vesicular, or sometimes petechial. The palms and soles may be involved. The eruptions are more common in children than in adults. Usually, the rash fades without pigmentation or scaling.
The terms "fourth disease" and "Duke's disease" are rarely used today.
Notes et références
- C. Dukes : On the confusion of two different diseases under the name of rubella (rose-rash). The Lancet, London, 1900, 2: 89-94.
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