Fifth disease - Fiifde Sykte
☆ Yn 'e 2022 Stiftung Warentest-resultaten út Dútslân wie de konsuminttefredenheid mei ModelDerm mar wat leger dan mei betelle telemedisynkonsultaasjes.
16-moanne-âlde mei Fiifde Sykte (Fifth disease) ― Beide wangen wurde read, as slein, en maculopapulêre útslach ferskine op it lichem.
Erythema op beide wangen.
References
Fifth disease , ek wol bekend as erythema infectiosum, is in virale ynfeksje feroarsake troch minsklik parvovirus B19. It is mear foarkommen yn bern, typysk beynfloedet dejingen tusken 4 en 14 jier âld. Symptomen begjinne faak mei in milde koarts, hoofdpijn, keelpijn, en gryp-like gefoelens. Bern kinne in ûnderskate reade útslach op it gesicht ûntwikkelje dy't liket op slapped cheeks , tegearre mei in patroon útslach op it lichem, earms en skonken. By folwoeksenen is gewrichtspine in mienskiplike klacht, dy't wiken nei de earste ynfeksje ferskine kin. Opmerklik kinne sawat 20 oant 30% fan folwoeksenen ynfekteare mei parvovirus B19 gjin symptomen hawwe.
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.
It risiko om parvovirus B19 fan mem nei poppe troch te jaan is sawat 33%, mei sawat 3% fan 'e ynfekteare froulju dy't komplikaasjes ûnderfine yn har poppen. As de mem foar 20 wiken fan 'e swangerskip ynfekteare wurdt, ferheegje de kânsen op komplikaasjes lykas bloedproblemen en floeistofopbou yn it lichem fan' e poppe. Om te begjinnen mei it behearen fan dizze sykte, moatte wy kontrolearje oft de pasjint oait bleatsteld is oan parvovirus troch te testen op bepaalde antystoffen (IgM) . As de test gjin eksposysje út it ferline toant, mar in resinte ynfeksje oanjout, hat de pasjint nau tafersjoch nedich tidens de swierens, ynklusyf reguliere echografie scans om te kontrolearjen op bepaalde sûnensproblemen foar poppen.
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.
fiifde sykte (fifth disease) begjint mei in lege koarts, hoofdpijn, útslach en kjeld-like symptomen, lykas in rinnende of ferstoppe noas. Dizze symptomen geane foarby, dan in pear dagen letter ferskynt de útslach. De ljochte reade útslach ferskynt meast yn it gesicht, benammen de wangen. (dêrfandinne de namme "slachte wangsykte"). Neist reade wangen ûntwikkelje bern faak in reade, kanten útslach op 'e rest fan it lichem, wêrby't de boppeearms, romp en skonken de meast foarkommende lokaasjes binne.
De sykte is meastentiids myld, mar yn swiere froulju is ynfeksje yn it earste trimester keppele oan hydrops fetalis, wêrtroch spontane miskream feroarsaket.
○ Behanneling
Gjin spesifike behanneling is nedich, om't it normaal ferbetteret mei de tiid.