| • | 1963-1967: inactivated vaccine used for some people; may develop atypical measles syndrome |
| • | 1968-present: only live vaccine now |
| • | same prodrome; rash starts on wrists and ankles and spreads centripetally, usually sparing the face (may become vesicular, purpuric) |
| • | ddx (for acral purpura): RMSF, glove and stocking purpura |
| • | (vs. RMSF – only measles has pulmonary symptoms) |
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