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How to Differentiate Between Measles and Allergy?

Published in Medical Diagnosis 3 mins read

The key difference between measles and an allergy lies in their cause and symptoms: measles is a contagious viral infection, whereas an allergy is an immune system overreaction.

Here's a breakdown to help you differentiate:

Measles is a contagious disease caused by the measles virus. This disease results in red rashes on the skin and often affects children. On the other hand, an allergy is an overreaction of the immune system to allergens, which are foreign substances that the body mistakenly considers harmful (28-Oct-2024).

Key Differences in Cause and Symptoms

Feature Measles Allergy
Cause Measles Virus (contagious infection) Immune system reaction to allergens (non-contagious)
Rash Red, blotchy rash; starts on the face and spreads Hives, eczema, or general redness and itchiness; location varies
Other Symptoms Fever, cough, runny nose, watery eyes, Koplik spots (tiny white spots inside the mouth) Itching, sneezing, runny nose, watery eyes, swelling, difficulty breathing (in severe cases)
Contagious Highly contagious Not contagious

Detailed Comparison

Measles

  • Cause: A virus.
  • Rash Characteristics: The rash typically starts on the face, around the hairline, and then spreads down the body. The rash consists of flat, red spots.
  • Other Symptoms:
    • High fever (often above 104°F).
    • Cough.
    • Runny nose (coryza).
    • Watery eyes (conjunctivitis).
    • Koplik spots: These are small, white spots on the inside of the cheeks. They appear before the rash.
  • Contagiousness: Measles is extremely contagious. It spreads through the air when an infected person coughs or sneezes.

Allergy

  • Cause: An allergic reaction to a specific allergen (e.g., food, pollen, pet dander).
  • Rash Characteristics: The rash can vary depending on the allergen and the type of allergic reaction. It might present as hives (raised, itchy welts), eczema (dry, itchy skin), or general redness.
  • Other Symptoms:
    • Itching.
    • Sneezing.
    • Runny nose.
    • Watery eyes.
    • Swelling (e.g., lips, tongue, face).
    • Difficulty breathing (in severe cases, anaphylaxis).
  • Contagiousness: Allergies are not contagious.

When to Seek Medical Attention

  • Measles: Suspected cases of measles should be reported to a doctor immediately due to the risk of complications and the need for public health intervention to prevent further spread.
  • Allergy: Mild allergic reactions can often be managed with antihistamines. However, if you experience difficulty breathing, swelling of the face or throat, or any other severe symptoms, seek emergency medical attention immediately.

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