一、异型麻疹综合征 Rauh与Schmidt(1965)首次报告,接种麻疹灭活疫苗的儿童后来感染麻疹时,临床表现严重且与典型的麻疹不同,即异型麻疹或异型麻疹综合征(Atypicalmeasles syndrome)。临床特征前驱期有高热(大多≥40℃)、头痛、咳嗽、肌痛、腹痛和全身衰弱,但卡它症状不甚明显,无科氏斑(McLean等报告中,例2记载有科氏斑,令人置疑)。2～4天后出现皮疹:始自四肢远端,掌、跖、腕、跺部常有,疹密 I. Measles Syndrome Rauh and Schmidt (1965) first reported that children infected with measles inactivated vaccine subsequently developed severe clinical manifestations of measles and were different from typical measles, ie, measles or Atypicalmeasles syndrome. Clinical Features The prodromal period had high fever (mostly ≥40 ° C), headache, cough, myalgia, abdominal pain and generalized weakness, but the symptoms of card were less pronounced with no evidence of keloid plaque (McLean et al reported that Coriolis , Doubtful). 2 to 4 days after the rash: from the distal limbs, palms, plantar, wrist, abdomen often, rash