What should you know about rubeola rash?

Rubeola means measles. The rash often appears after fever and cold-like symptoms such as cough, sore eyes or a runny nose, and it may begin on the face before moving down the body. Swollen glands can also occur. Note when the rash started, where it appeared first, whether it is changing and which symptoms came beforehand. This information helps a clinician distinguish measles from other causes of rash.

Because measles can spread through the air, avoid close indoor contact and do not sit in a public waiting room before calling for advice. Keep the person comfortable and avoid scratching irritated skin.

Phone a [GP Consultation](/treatments/consultations-and-assessment/gp-consultation/) service and describe the rash without sending the person into a crowded clinic unannounced. Mention [Fever](/symptoms/fever/), cough, sore eyes, recent travel, possible exposure and [MMR Vaccination](/treatments/preventive-care-and-vaccination/mmr-vaccination/) history. Offer fluids and use gentle skin care; ask before giving medicines, particularly to a child.

Get emergency help if the person has breathing difficulty, facial swelling, a seizure, confusion, severe weakness, dehydration or a rash with rapidly worsening illness. Seek prompt assessment for fever with a new spreading rash or known measles exposure. Call ahead to protect other patients and staff.

Ask whether the appearance and symptom sequence suggest measles, whether testing is needed, how long to avoid close contact, and whether family members need vaccination advice. Take a dated photograph only if the clinician requests it, and bring the vaccination record.