RBL, Rubella

Clinic

It is a viral miasm

Classic triad of Congenital rubella

• Sensorineural deafness: 58 %
• Eyes (43 %): Small eyes, Cataracts and Retinopathy
• Congenital heart disease (50%): PDA and pulmonary artery stenosis

Entities

Language disorders

Mental retardation: Microcephaly

Meningitis.

Encephalitis

Large anterior fontanell.

Acute disseminated encephalomyelitis (ADEM)

Eye

Myopia

Conjunctivitis

Cataract.

Glaucoma: Cloudy cornea

Retinopathy.

Inguinal hernia.

Hepatitis: Jaundice, Anorexia

Hepatomegaly

Diarrhea.

Pnemonitis: Cough; night

Pulmonic stenosis.

Cryptorchidism

Abortion.

Perspiration; feet.

Arthritis; wrist, fingers, knee. Arthralgia

Spastic paralysis: Diplegia

Eruptions

• Desquamating,
• Maculopapular
• Extending down Face Eruptions
• Soft palate enanthem

Lymphadenopathy

• Posterior cervical
• External throat
• Sub-occipital, posterior-auricular

Seizure.

. Low birth weight.

Precocious puberty.

Diabetes Mellitus.

Bone lesions.

Hemolytic anemia.

Degenarative brain disease.

Thrombocytopenia. Thrombocytopenic purpura.  Bleeding Splenomegaly

Remedies

2. MERC, SULPH
3. Calc, Sil, Bar-c,
4. Cic

Banerji protocols
First line	Bry C30 BD Bell C3 for high fever every 30 min Ip C30 for Cough and colds one dose hourly.
Second line	Bry C30 + Ant-c C6 one dose every 3 hours alternately Chel 6X in lung congestion, one dose every 2 hours
Third line	When fever and eruptions cure, Thuj C30 one dose daily for 10 days for avoiding recurrence

Note that Banerji protocols for Measles and Rubella is the same