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Koplik spots in measles
  1. Midori Tanaka1,
  2. Taku Harada2,3
  1. 1 Center of Postgraduate Clinical Training, Showa University Hospital, Tokyo, Japan
  2. 2 General Medicine, Showa University Koto Toyosu Hospital, Koto-ku, Japan
  3. 3 Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Shimotsuga-gun, Japan
  1. Correspondence to Dr Taku Harada, General Medicine, Showa University Koto Toyosu Hospital, Koto-ku 135-8577, Japan; hrdtaku{at}

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A 34-year-old Filipino woman presented with a 3-day history of fever, coryza, cough, sore throat, conjunctivitis and rash following a visit to the Visayas, Philippines, 2 weeks earlier. At fever onset, she noted a maculopapular rash on her face and upper chest, which subsequently spread to her trunk and arms. On the right buccal mucosa, 2 mm ulcer-like white spots (figure 1) and multiple white plaques, described as ‘grains of salt on a red background’ (figure 2 …

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  • Contributors According to the definition given by the International Committee of Medical Journal Editors (ICMJE), the following individuals qualify for authorship based on their substantial contributions to the manuscript’s intellectual content: TH and MT, conception and design; MT, acquisition of data; MT, patient management and interpretation of data. Furthermore, MT and TH have participated in writing the manuscript. All authors have read and approved the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.