Fifth disease - Senkyèm Maladi
☆ Nan rezilta Stiftung Warentest 2022 ki soti nan Almay, satisfaksyon konsomatè yo ak ModelDerm te sèlman yon ti kras pi ba pase ak konsiltasyon telemedsin peye.
16 mwa ki gen Senkyèm Maladi (Fifth disease) ― Tou de machwè yo vin wouj, tankou si yo te souflete, ak gratèl makulopapular parèt sou kò a.
Eritem sou tou de machwè.
References
Fifth disease , ke yo rele tou erythema infectiosum, se yon enfeksyon viral ki te koze pa parvoviris imen B19. Li pi souvan nan timoun yo, tipikman afekte moun ki gen ant 4 a 14 ane fin vye granmoun. Sentòm yo souvan kòmanse ak yon ti lafyèv, maltèt, gòj fè mal, ak santiman ki sanble ak grip. Timoun yo ka devlope yon gratèl wouj diferan sou figi a ki sanble ak slapped cheeks , ansanm ak yon gratèl ki gen fòm sou kò a, bra, ak janm yo. Nan granmoun, doulè nan jwenti se yon plent komen, ki ka parèt semèn apre premye enfeksyon an. Miyò, anviwon 20 a 30% nan adilt ki enfekte ak parvovirus B19 ka pa montre okenn sentòm.
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.
Risk pou yo pase parvovirus B19 soti nan manman ak tibebe a se anviwon 33%, ak apeprè 3% nan fanm ki enfekte ki gen konplikasyon nan tibebe yo. Lè manman an vin enfekte anvan 20 semèn gwosès la, chans pou konplikasyon tankou pwoblèm san ak akimilasyon likid nan kò tibebe a ogmante. Pou kòmanse jere maladi sa a, nou ta dwe tcheke si pasyan an te janm ekspoze a parvoviris nan tès pou sèten antikò (IgM) . Si tès la pa montre okenn ekspoze sot pase a men li endike yon enfeksyon ki sot pase, pasyan an bezwen siveyans sere pandan gwosès la, ki gen ladan analiz ultrason regilye pou tcheke sèten pwoblèm sante ti 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.
senkyèm maladi (fifth disease) kòmanse ak yon lafyèv ki ba, maltèt, gratèl, ak sentòm tankou frèt, tankou nen k ap koule oswa bouche. Sentòm sa yo pase, apre kèk jou apre, gratèl la parèt. Gratèl wouj klere pi souvan parèt nan figi a, patikilyèman machwè yo. (kidonk non "maladi souflèt souflèt"). Anplis de machwè wouj, timoun yo souvan devlope yon gratèl wouj, dantèl sou rès kò a, ak anwo bra yo, tors, ak janm yo se kote ki pi komen.
Maladi a anjeneral twò grav, men nan fanm ansent, enfeksyon nan premye trimès la te lye ak idrops fetalis, sa ki lakòz foskouch espontane.
○ Tretman
Pa gen okenn tretman espesifik ki nesesè kòm li anjeneral amelyore sou tan.