Fifth disease - Peta Bolest
☆ U rezultatima Stiftung Warentest-a za 2022. iz Njemačke, zadovoljstvo potrošača ModelDerm-om bilo je samo nešto niže nego s plaćenim telemedicinskim konsultacijama.
16-meseca sa Peta Bolest (Fifth disease) ― Oba obraza pocrvene, kao da su šamarani, a po telu se pojavljuju makulopapulozni osip.
Eritem na oba obraza.
References
Fifth disease , također poznat kao erythema infectiosum, je virusna infekcija uzrokovana ljudskim parvovirusom B19. Preovlađujuća je kod djece, obično pogađa djecu između 4 i 14 godina. Simptomi često počinju blagom temperaturom, glavoboljom, upalom grla i osjećajima sličnim gripi. Deca mogu razviti jasan crveni osip na licu koji podseća na slapped cheeks , zajedno sa šarenim osipom na telu, rukama i nogama. Kod odraslih, bol u zglobovima je uobičajena tegoba, koja se može pojaviti sedmicama nakon početne infekcije. Primjetno je da oko 20 do 30% odraslih osoba zaraženih parvovirusom B19 možda neće pokazivati nikakve simptome.
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.
Rizik od prenošenja parvovirus B19 sa majke na bebu je oko 33%, a oko 3% zaraženih žena ima komplikacije kod svojih beba. Kada se majka zarazi prije 20. Sedmice trudnoće, povećavaju se šanse za komplikacije kao što su problemi s krvlju i nakupljanje tekućine u tijelu bebe. Da bismo započeli liječenje ove bolesti, trebali bismo provjeriti da li je pacijent ikada bio izložen parvovirusu testiranjem na određena antitijela (IgM) . Ako test ne pokaže prethodnu izloženost, ali ukazuje na nedavnu infekciju, pacijentkinju je potrebno pažljivo praćenje tokom trudnoće, uključujući redovne ultrazvučne pretrage kako bi se provjerili postoje li određeni zdravstveni problemi bebe.
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.
peta bolest (fifth disease) počinje slabom temperaturom, glavoboljom, osipom i simptomima sličnim prehladi, kao što je curenje ili začepljen nos. Ovi simptomi prolaze, a zatim se nekoliko dana kasnije pojavljuje osip. Jarkocrveni osip se najčešće pojavljuje na licu, posebno na obrazima. (otuda naziv "bolest šamaranja obraza"). Osim crvenih obraza, djeca često imaju crveni, čipkasti osip na ostatku tijela, a najčešće su nadlaktice, trup i noge.
Bolest je obično blaga, ali je kod trudnica infekcija u prvom tromjesečju povezana s hidropsom fetalisa, što uzrokuje spontani pobačaj.
○ Treatment
Nije potreban poseban tretman jer se obično poboljšava tokom vremena.