Measles and rubella skin lesions were immunocytochemically compared by
the avidin-biotin-peroxidase complex method for detecting viral antig
ens. Cryostat sections of biopsied specimens of the skin were stained
with mouse monoclonal antibodies to P protein of measles virus and to
El protein of rubella virus. The measles virus antigen was concentrate
d in the corneal layer and the keratinocytes of the epidermis and in t
he surface part of the dermis in the biopsy secimens taken within 6 da
ys after the onset of rash. On the other hand, the rubella virus antig
en was dispersed in all parts of the dermis and the subcutaneous layer
but not in the epidermis in the biopsy specimens taken within 2 days
after the onset of rash. The differences in the distribution and densi
ty of the viral antigen and in the times of its detection suggest dist
inct patterns of spread of infection with each virus in the skin.