But the pain sense is a personal factor, some complaining of it more than others. The tongue is usually dry and coated and there is anorexia nausea, vomiting and constipation. The face often looks bloated and the conjunctiva red. Mucous membranes of the mouth and faeces are also injected. Occasionally bleeding from nose and astro-intestinal tract.
Skin is usually hot and dry and hypersensitive.
The pain and distress are partially relieved. The temperature rises again on the 7th or 8th day to 103 to 104 with the return of the body pain and the characteristic eruption now appear. These are sometimes scanty and short staying and many pass unnoticed but in other cases, more profuse. These are roseola and at first appear on the dorsal aspect of hands and wrists and quickly spread to the fore and upper arm, face and lower limbs. These are minute reddish brown spots which subsequently coalesce to form big patches, separated by healthy areas, some what resembling measles rash.