Fifth disease - Còigeamh Galar
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16-mìosan a dh'aois le còigeamh galar (Fifth disease) - Bidh an dà ghruaidhean a thionndadh dearg, mar gum biodh iad air an slaodadh, agus bidh brògan maculopapular a nochdadh air a bhodhaig.
Erythema air an dà ghruaidhean.
relevance score : -100.0%
ReferencesTha Fifth disease, ris an canar cuideachd erythema infectiosum, na ghalar bhìorasach air adhbhrachadh le parvovirus daonna B19. Tha e nas cumanta ann an cloinn, mar as trice a’ toirt buaidh air daoine eadar 4 agus 14 bliadhna a’ aois. Bidh comharran gu tric a’ tòiseachadh le fiabhras ìosal, ceann goirt, crua‑chlàir, agus comharraidhean coltach ri fliuch. Faodaidh clann leasachadh brod dearg sònraichte air an aghaidh coltach ri ‘slapped cheeks’ (slapped cheeks), còmhla ri brod le pàtran lathaidh air a’ bhodhaig, na gàirdeanan agus na casan. Ann an inbhich, tha pian gualainn cumanta, a dh’ fhaodadh nochdadh seachdain às deidh a’ chiad ghalar. Gu sònraichte, tha timcheall air 20 gu 30% de dh’inbhich le parvovirus B19 gun samhail.
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.
Tha an ìre tar‑chur inghearach rè ionradh màthar le parvovirus B19 air a mheasachadh aig 33 %, le duilgheadasan foirfeach a’ tachairt ann an 3 % de bhoireannaich a tha air an t‑ionnsaigh. Tha duilgheadasan foirfeach a’ gabhail a-steach haemolais, anemia, agus hydrops foirfeach nach eil èifeachdach, agus caillteanas foirfeach nas trice nuair a thachras an ionradh ro 20 seachdain de bhreith. ‘S e a’ chiad cheum ann an làimhseachadh an euslaintich a bhith a’ faighinn tomhasan IgM agus IgG an aghaidh parvovirus gus measadh a dhèanamh an do dh’ fhuair e dìon roimhe seo an aghaidh a’ ghalair. Ma tha an toradh diùltach airson IgG ach dearbh airson IgM (is e seo ionradh bunasach), feumaidh an euslaintich sgrùdadh dlùth fhad ‘s a tha i trom, a’ gabhail a-steach ultrasan eile sreathach gus anemia foirfeach agus hydrops foirfeach a sgrùdadh.
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.
Bidh còigeamh galar (fifth disease) a’ tòiseachadh le fiabhras aig ìre ìosal, ceann goirt, breab, agus comharraidhean coltach ri fuachd, leithid sròn sruthach no clì. Bidh na comharraidhean sin a’ dol seachad, agus an uairsin beagan làithean às deidh sin, nochdaidh am breab. Tha am breab soilleir dearg mar as trice a’ nochdadh air an aghaidh, gu sònraichte na gruaidhean (mar sin an t-ainm “slapped‑cheek disease”). A bharrachd air gruaidhean dearga, bidh clann gu tric a’ leasachadh breab dearg, lacy air a’ chòrr den bhodhaig, le na gàirdeanan àrda, an torso agus na casan mar na h-àiteachan as cumanta.
Mar as trice tha an galar tlàth, ach ann am boireannaich a tha trom le leanabh, tha galar anns a’ chiad tritheamh air a cheangal ri hydrops fetalis, ag adhbhrachadh abradh gun spionnadh.
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Chan eil feum air làimhseachadh sònraichte oir mar as trice bidh e a’ fàs nas fheàrr thar ùine.