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Measles is a highly contagious disease that causes a high fever, rash, cough and red eyes. It can lead to life-threatening complications, like brain inflammation and pneumonia. It’s caused by a virus. Getting the measles vaccine is the best way to prevent getting and spreading measles.
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Measles is a highly contagious illness caused by a virus. It causes a widespread rash and flu-like symptoms. But measles isn’t just a rash. It can make you severely ill and lead to life-threatening complications like brain inflammation and pneumonia. It can also make you more likely to get sick with other infections.
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Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy
Before it was part of routine childhood immunizations, measles caused millions of deaths around the world. There are still cases in the U.S. every year. There’s no specific treatment or cure.
Measles is also called rubeola, 10-day measles or red measles. It isn’t the same as German measles (rubella).
Measles symptoms include:
Measles symptoms don’t appear all at once. A fever, cough, runny nose and red eyes may appear first. Koplik’s spots might appear two to three days later and fade when the rash begins. The rash appears three to five days after your initial symptoms start. A high fever may develop with the rash.
The measles rash usually starts as flat spots on your face. On lighter skin, it appears red. On dark skin, it could appear purple or darker than the skin around it, or it might be hard to see.
The rash spreads downward over your neck, chest, back, arms, legs and feet. The spots might blend together as they spread. There might be some areas that are raised bumps and some that are flat. It doesn’t usually itch.
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Measles virus (genus Morbillivirus) causes measles. It’s an airborne disease, which means it spreads through the air when an infected person breathes, coughs, sneezes or talks. The airborne droplets can remain in a room for two hours even after the person with measles is gone. Droplets can also land on surfaces you touch.
Measles can spread by:
Yes, measles is highly contagious, which means it spreads easily from person to person. Experts estimate that if one person in a room of unvaccinated people has measles, 9 out of 10 people in the room will catch it. You’re contagious about four days before you develop a rash until about four days after the rash starts.
You’re at higher risk for severe complications from measles if you:
Complications of measles can be mild to life-threatening. They include:
If you have measles while pregnant, your baby could be born early (preterm birth) or have low birth weight.
A healthcare provider might be able to diagnose measles based on your health history, a physical exam and the appearance of the rash. To confirm a diagnosis, they might use:
There’s no cure and no specific treatment for measles. If you’re treated in a hospital, a healthcare provider might give you vitamin A to reduce your risk of serious complications.
Measles usually lasts 10 to 14 days if you don’t have complications.
Talk to your healthcare provider if:
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Go to the emergency room if you experience:
The measles vaccine is extremely effective at preventing measles. To be fully protected, you need two doses of either:
Most people get the MMR or MMRV shots in childhood, but you can get them as an adult, too.
It’s unlikely that you’ll get measles if you’ve received both doses of the vaccine. Receiving only one dose is less effective at preventing illness.
Measles can cause severe illness. About 2 out of every 5 people with measles are hospitalized.
Even after you’ve recovered, you might be more likely to get sick with other infections. This is because measles often destroys immune system cells responsible for remembering past infections that you’d developed immunity to (“immune amnesia”).
You can also develop life-threatening complications months or years after having measles, especially if you have a weakened immune system.
Yes, you should isolate for four days after the rash appears if you have measles. You should wear an N95 mask, and so should healthcare providers and anyone who’s helping care for you. Ask your provider when it’s OK to be around other people and return to work or school.
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Ask your healthcare provider (or your child’s) how you can safely manage symptoms at home. They might suggest:
Measles once infected nearly every child in the U.S. Thanks to public health efforts, it’s now eliminated (no longer spreads regularly) in the U.S. But outbreaks still happen, and people still die from measles. If people stop getting the measles vaccination, it can start spreading widely in the U.S. again. If you think you’ve been exposed to measles, talk to a healthcare provider. They can let you know how to manage your symptoms and if there are any ways to reduce your risk of severe illness.
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As your child grows, you need healthcare providers by your side to guide you through each step. Cleveland Clinic Children’s is there with care you can trust.
Last reviewed on 02/28/2025.
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