ABSTRACT
The incubation time between exposure an appearance of the rash of rubella is from 14 to 21 days. Headache, fever, malaise, lymphadenopathy, and mild conjunctivitis may precede the rash by as much as a week, particularly in adults. The exanthem often is the first sign of the disease in children. Rubella may cause lymph node enlargement alone, without skin lesions, and it may be unrecognized until serologic study. Respiratory symptoms are not prominent. Forschheimer spots are small red lesions on the soft palate. These spots may be present but are not pathognomonic.
