Tiny white spots on the buccal mucosa opposite the molars. Commonly described as “grains of salt on a red sea.”
Very suggestive of Measles, before appearance of rash, if patient has fever PLUS the “3 C’s”:
- Coryza (runny nose)
Koplik’s Spots are very subtle, as you can appreciate from the pictures below. [don’t confuse “white spots” with the white from a camera flash, or pressure from tongue blade].
If you suspect Measles (Rubeola), draw an IgM Antibody. Even if there’s no treatment, it’s important to report for public health reasons.