The characteristic manifestation of measles is its rash. The rash may be a macular rash or a papular rash, but it does not appear as a herpetic skin rash. The skin between the two rashes is normal in color and does not appear to be joined in patches, which is the main characteristic of measles. The first appearance of the rash is usually on the third or fourth day of fever, and this is a general indication of measles. The rash begins to appear on the skin behind the ear, then gradually spreads downward and forward to the face and neck, then downward to the trunk, then to the limbs, and finally to the palms of the hands and feet. During the gradual appearance of the rash, there is a significant increase in body temperature, reaching or even exceeding 40 degrees, so this is a typical characteristic of measles. When the rash reaches its peak, the sequence of retreat is also similar. Measles is also more likely to be accompanied by conjunctivitis, as well as with pneumonia, in addition to the rash before the oral mucosa appears Koch’s spot is also very characteristic performance.