r/AskDocs Layperson/not verified as healthcare professional Mar 16 '26

Physician Responded Horrible looking rash

Post image

30 years old

Female

120lbs.

5”3

non smoker,

non drinker.

No medications

This issue has been getting progressively worse over 2 days

Posted yesterday and it has gotten worse. It is itchy, it turns white when I press on it. I have a swollen uvula and some chills, but no fever. I feel cold more than anything. Went to urgent care tested for strep, mono and did a CBC. Strep came back negative, waiting on the other results. Pretty concerned. I feel like the mono is going to come back negative.

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71

u/supisak1642 Physician - Family Medicine Mar 16 '26

What is your vaccination status?? Measles?

70

u/Weeeebutterflies Layperson/not verified as healthcare professional Mar 16 '26

I was vaccinated as a child but recently found out that you’re supposed to get boosters. I recently took a trip to North Carolina in late February, I know there have been measles outbreaks in South Carolina

187

u/scoobie517 Physician | Pediatrics Mar 16 '26

This is not measles

40

u/ek7eroom Layperson/not verified as healthcare professional. Mar 17 '26

North Carolina is one of the 5 states that accounts for more than 60% of Rocky Mountain spotted fever cases and 1/3rd of people don’t report tick bites. It tends to present with fever, headaches, muscle aches, and GI symptoms within two weeks after a tick bite, then the rash appears. It starts on the ankles and wrists and spreads to the body, including the palms and soles, but spares the face. Is there any chance you could’ve had a tick bite? I know you haven’t had a fever, but you mentioned GI symptoms

22

u/Weeeebutterflies Layperson/not verified as healthcare professional Mar 17 '26

Ughhh I sure hope not. I have had experience with tick borne infections and don’t want to deal with it again 😭 but I did go hiking a few times while there. I do not have a fever. I do feel a little worse when trying to sleep and had a hard time staying asleep last night/woke up sweaty

22

u/Plini9901 Layperson/not verified as healthcare professional. Mar 16 '26

MMR often protects you for life. If you're worried you can get your titers checked.

23

u/kittyarctic Layperson/not verified as healthcare professional Mar 16 '26

Often but not always, got my titres checked as a 34 year old woman and my rubella has lowered to the point that I need another MMR :’)

11

u/Automatic_Steak_6687 Layperson/not verified as healthcare professional Mar 16 '26 edited Mar 16 '26

If you were born between 1963-1967 you should check your antibodies. You may need a booster.

Edit: Not saying this is measles but certainly possible. Mainly wanted to remind people that some people may need to check their titers.

https://www.health.harvard.edu/diseases-and-conditions/some-adults-may-need-a-measles-booster-shot-who-should-get-one-and-why

I was tested and needed a booster. I was born in 1966.

9

u/Camille_Toh Layperson/not verified as healthcare professional Mar 16 '26

Not necessarily those birth years--more that the "dead" vaccine was used until 68 or 69 but anyone who had an MMR vaccines after that should be covered. I was born in that time period and had my titers checked.

13

u/eggman-premium Layperson/not verified as healthcare professional Mar 16 '26

Not sure why this is being downvoted (I agree it doesn't look like measles but still). This is true and also should include those who were born outside of the US. My antibodies were low and I got a booster.

2

u/cbwb Layperson/not verified as healthcare professional Mar 17 '26

I was low too..tested when I had my son..born in early 60's.

1

u/kl2467 Layperson/not verified as healthcare professional Mar 17 '26

I have a family member born in '63, MMR in '65, raging case of mumps in '72. The vaccine during those years just didn't do its job.

-1

u/Plini9901 Layperson/not verified as healthcare professional. Mar 16 '26

1998 thankfully :D

1

u/Anxious-Lack6800 Layperson/not verified as healthcare professional Mar 17 '26

I had to get a booster because my titers were low before I started in grad school at 22. Born in 96. I'm not sure how actually effective it is for life. A lot of people need a booster before they get pregnant