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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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