Fifth disease
☆ Saksamaa 2022. aasta Stiftung Warentesti tulemustes oli tarbijate rahulolu ModelDermiga vaid veidi madalam kui tasuliste telemeditsiini konsultatsioonidega.
16-kuune Fifth disease ― Mõlemad põsed lähevad nagu laksu saades punaseks ja kehale tekivad makulopapulaarsed lööbed.
Erüteem mõlemal põsel.
References
Fifth disease , tuntud ka kui erythema infectiosum, on inimese parvoviiruse B19 põhjustatud viirusnakkus. See esineb sagedamini lastel, tavaliselt 4–14-aastastel. Sümptomid algavad sageli kerge palaviku, peavalu, kurguvalu ja gripilaadsete tunnetega. Lastel võib näole tekkida selge punane lööve, mis sarnaneb slapped cheeks , koos mustrilise lööbega kehal, kätel ja jalgadel. Täiskasvanutel on liigesevalu tavaline kaebus, mis võib ilmneda nädalaid pärast esmast nakatumist. Eelkõige ei pruugi umbes 20–30% parvoviiruse B19-ga nakatunud täiskasvanutest ilmneda mingeid sümptomeid.
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.
Parvovirus B19 emalt lapsele ülekandumise oht on umbes 33%, kusjuures umbes 3% nakatunud naistest kogevad imikutel tüsistusi. Kui ema nakatub enne 20. Rasedusnädalat, suureneb tüsistuste, näiteks vereprobleemide ja vedeliku kogunemise tõenäosus lapse kehas. Selle haigusega võitlemise alustamiseks peaksime kontrollima, kas patsient on kunagi kokku puutunud parvoviirusega, testides teatud antikehi (IgM) . Kui test ei näita varasemat kokkupuudet, kuid näitab hiljutist infektsiooni, vajab patsient raseduse ajal hoolikat jälgimist, sealhulgas regulaarset ultraheliuuringut, et kontrollida lapse teatud terviseprobleeme.
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.
Fifth disease algab madala palaviku, peavalu, lööbe ja külmetushaigustega sarnaste sümptomitega, nagu vesine või kinnine nina. Need sümptomid mööduvad ja mõne päeva pärast ilmneb lööve. Helepunane lööve ilmub kõige sagedamini näole, eriti põskedele. (sellest ka nimi "laksu põsehaigus"). Lisaks punastele põskedele tekib lastel sageli punane pitsiline lööve ülejäänud kehale, kusjuures kõige levinumad kohad on õlavarred, kere ja jalad.
Tavaliselt on haigus kerge, kuid rasedatel naistel on esimesel trimestril nakatumist seostatud hüdrops fetalisega, mis põhjustab spontaanset raseduse katkemist.
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