Fifth disease - Peta Bolest
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16-mjesečno dijete s Peta Bolest (Fifth disease) ― Oba obraza pocrvene, kao da su ga pljusnuli, a po tijelu se pojavljuju makulopapularni osipi.
Eritem na oba obraza.
References
Fifth disease , također poznat kao erythema infectiosum, virusna je infekcija uzrokovana ljudskim parvovirusom B19. Češći je kod djece, obično pogađa djecu između 4 i 14 godina. Simptomi često počinju blagom vrućicom, glavoboljom, grloboljom i osjećajima sličnim gripi. Djeca mogu razviti jasan crveni osip na licu koji podsjeća na slapped cheeks , zajedno s osipom s uzorkom na tijelu, rukama i nogama. Kod odraslih bolovi u zglobovima česta su tegoba koja se može pojaviti tjednima nakon početne infekcije. Naime, oko 20 do 30% odraslih 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 prijenosa parvovirus B19 s majke na bebu je oko 33%, a oko 3% zaraženih žena doživi komplikacije kod svojih beba. Kada se majka zarazi prije 20. Tjedna trudnoće, povećavaju se šanse za komplikacije poput problema s krvlju i nakupljanja tekućine u tijelu djeteta. Kako bismo započeli liječenje ove bolesti, trebali bismo provjeriti je li pacijent ikada bio izložen parvovirusu testiranjem na određena protutijela (IgM) . Ako test ne pokaže prošlu izloženost, ali ukazuje na nedavnu infekciju, pacijenticu je potrebno pažljivo pratiti tijekom trudnoće, uključujući redovite ultrazvučne preglede kako bi se provjerili 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 s niskom temperaturom, glavoboljom, osipom i simptomima sličnim prehladi, kao što je curenje ili začepljen nos. Ovi simptomi prolaze, a nakon nekoliko dana pojavljuje se osip. Jarko crveni osip najčešće se pojavljuje na licu, osobito na obrazima. (odatle i naziv "bolest ošamarenog obraza"). Osim crvenih obraza, djeca često razviju crveni, čipkasti osip na ostatku tijela, pri čemu su nadlaktice, torzo i noge najčešća mjesta.
Bolest je obično blaga, ali u trudnica se infekcija u prvom tromjesečju povezuje s hidropsom fetalisa, uzrokujući spontani pobačaj.
○ Liječenje
Nije potrebno posebno liječenje jer se obično popravlja s vremenom.