What type of rash is typically observed after the fever in roseola infantum?

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In roseola infantum, often caused by human herpesvirus type 6 (HHV-6), the rash is typically maculopapular and appears after the resolution of a high fever that usually lasts for three to five days. This rash usually starts on the trunk and can spread to the face and extremities. The maculopapular nature means that the rash consists of both flat (macules) and slightly raised (papules) areas, and it usually does not itch.

The characteristic timing of the rash appearance, following the fever, is crucial in distinguishing roseola from other viral exanthems that may present with a rash during the febrile phase. Understanding these details can help in diagnosing roseola, as well as in providing reassurance to parents about the self-limiting nature of the illness. Other types of rashes associated with viral infections may have different characteristics and presentations.

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