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What is the difference between measles and chickenpox?

Published in Disease Comparison 2 mins read

Measles and chickenpox are both viral infections that cause a rash, but they differ significantly in how the rash appears and spreads.

Key Differences in Rashes

Here's a breakdown of the key differences between the rashes caused by measles and chickenpox:

Feature Measles Chickenpox
Initial Location Typically starts as flat red spots on the face. Usually starts on the trunk (the body's middle part).
Spread Spreads downward from the face to the rest of the body. Spreads outward from the trunk to other areas including the face, scalp, and limbs.
Mouth Rash may appear inside the mouth. Rash typically does not appear inside the mouth in the same way as measles.
Appearance Flat red spots that can sometimes merge. Begins as small, itchy red bumps that turn into fluid-filled blisters and eventually crust over.

Other Distinguishing Factors

While the rash is a primary indicator, there are other differences:

  • Symptoms: Measles often includes symptoms like high fever, cough, runny nose, and conjunctivitis (pink eye). Chickenpox is characterized by the itchy rash and mild fever.
  • Contagiousness: Both are highly contagious, but measles is generally more infectious.
  • Complications: Measles can lead to serious complications such as pneumonia and encephalitis, while chickenpox is usually milder, but can cause complications, especially in adults.
  • Vaccination: Both diseases have effective vaccines to prevent infection.

Summary

In summary, while both cause rashes, measles starts on the face and moves down, with flat red spots and can be found inside the mouth; chickenpox starts on the trunk and spreads outward, with itchy blisters. Recognizing these distinctions is key for proper identification and treatment.

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