Koplik’s Spots

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)
  • Cough
  • Conjunctivitis

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.