Fifth disease - Vyfde Siekte
☆ In die 2022 Stiftung Warentest-resultate van Duitsland was verbruikerstevredenheid met ModelDerm net effens laer as met betaalde telemedisyne-konsultasies.
16 maande oud met Vyfde Siekte (Fifth disease) ― Albei wange word rooi, asof hulle geslaan word, en makulopapulêre uitslag verskyn op die liggaam.
Eriteem op albei wange.
References
Fifth disease , ook bekend as erythema infectiosum, is 'n virusinfeksie wat veroorsaak word deur menslike parvovirus B19. Dit kom meer voor by kinders, wat gewoonlik diegene tussen 4 en 14 jaar oud affekteer. Simptome begin dikwels met 'n ligte koors, hoofpyn, seer keel en griepagtige gevoelens. Kinders kan 'n duidelike rooi uitslag op die gesig ontwikkel wat soos slapped cheeks lyk, saam met 'n patroonuitslag op die liggaam, arms en bene. By volwassenes is gewrigspyn 'n algemene klagte wat weke na die aanvanklike infeksie kan voorkom. Opmerklik is dat ongeveer 20 tot 30% van volwassenes wat met parvovirus B19 besmet is, moontlik geen simptome toon nie.
Fifth disease (erythema infectiosum) is a viral infection caused by human parvovirus B19. It is more common in children than adults and usually affects children ages 4 to 14. The disease often starts with mild fever, headache, sore throat, and other flu-like symptoms. Children can also develop a bright red rash on the face that looks like “slapped cheeks”, along with a lacy or bumpy rash on the body, arms, and legs. In adults, joint aches are a common symptom. Rash and joint symptoms may develop several weeks after infection. About 20 to 30% of adults who are infected with parvovirus B19 will not have symptoms.
Fifth disease (erythema infectiosum) is a viral infection caused by human parvovirus B19. It is more common in children than adults and usually affects children ages 4 to 14. The disease often starts with mild fever, headache, sore throat, and other flu-like symptoms. Children can also develop a bright red rash on the face that looks like “slapped cheeks”, along with a lacy or bumpy rash on the body, arms, and legs. In adults, joint aches are a common symptom. Rash and joint symptoms may develop several weeks after infection. About 20 to 30% of adults who are infected with parvovirus B19 will not have symptoms.
Die risiko om parvovirus B19 van moeder na baba oor te dra is ongeveer 33%, met ongeveer 3% van besmette vroue wat komplikasies by hul babas ervaar. Wanneer die ma voor 20 weke van swangerskap besmet raak, verhoog die kanse op komplikasies soos bloedprobleme en vloeistofopbou in die baba se liggaam. Om hierdie siekte te begin bestuur, moet ons kyk of die pasiënt ooit aan parvovirus blootgestel is deur vir sekere teenliggaampies (IgM) te toets. As die toets geen vorige blootstelling toon nie, maar 'n onlangse infeksie aandui, benodig die pasiënt noukeurige monitering tydens swangerskap, insluitend gereelde ultraklankskanderings om na sekere babagesondheidskwessies te kyk.
The rate of vertical transmission during maternal parvovirus B19 infection is estimated at 33%, with fetal complications occurring in 3% of infected women. Fetal complications comprising hemolysis, anemia, and nonimmune hydrops fetalis and fetal loss are more frequent when maternal infection occurs before 20 weeks of gestation. The first step in the management of this patient would be to obtain immunoglobulin (Ig) M and IgG titres against parvovirus to evaluate if the patient has had previous immunity against the disease. If results are negative for IgG but positive for IgM (ie, primary infection), this patient would need close obstetrical monitoring for the following weeks, including serial ultrasounds to rule out fetal anemia and hydrops fetalis.
The rate of vertical transmission during maternal parvovirus B19 infection is estimated at 33%, with fetal complications occurring in 3% of infected women. Fetal complications comprising hemolysis, anemia, and nonimmune hydrops fetalis and fetal loss are more frequent when maternal infection occurs before 20 weeks of gestation. The first step in the management of this patient would be to obtain immunoglobulin (Ig) M and IgG titres against parvovirus to evaluate if the patient has had previous immunity against the disease. If results are negative for IgG but positive for IgM (ie, primary infection), this patient would need close obstetrical monitoring for the following weeks, including serial ultrasounds to rule out fetal anemia and hydrops fetalis.
vyfde siekte (fifth disease) begin met 'n laegraadse koors, hoofpyn, uitslag en verkoueagtige simptome, soos 'n loopneus of toe neus. Hierdie simptome gaan verby, dan 'n paar dae later verskyn die uitslag. Die helderrooi uitslag kom die meeste voor in die gesig, veral die wange. (vandaar die naam "geklapte wangsiekte"). Benewens rooi wange ontwikkel kinders dikwels 'n rooi, kantuitslag op die res van die liggaam, met die bo-arms, bolyf en bene wat die algemeenste plekke is.
Die siekte is gewoonlik lig, maar by swanger vroue is infeksie in die eerste trimester gekoppel aan hydrops fetalis, wat spontane miskraam veroorsaak.
○ Behandeling
Geen spesifieke behandeling is nodig nie aangesien dit gewoonlik mettertyd verbeter.