Blueberry Muffin Rash

Blueberry Muffin Rash

Not to be mistaken with our favorite high calorie breakfast pastry, blueberry muffin rash is a cutaneous (skin) finding in infants who were exposed in the womb to the rubella virus. This rash is a form of purpura (red or purple skin discoloration that does not blanch with fingertip pressure due to bleeding under the skin). Although no longer solely associated with congenital rubella syndrome (CRS), it is best remembered as such. The classic triad (no, I am not referring to Asian organized crime here) of CRS is deafness, eye abnormalities and congenital heart disease.