Fifth disease - Penyakit Kaping Limahttps://en.wikipedia.org/wiki/Fifth_disease
Penyakit Kaping Lima (Fifth disease) minangka salah siji saka sawetara manifestasi infeksi parvovirus B19. penyakit kaping lima (fifth disease) luwih umum ing bocah-bocah.

penyakit kaping lima (fifth disease) diwiwiti kanthi demam sedheng, sirah, ruam, lan gejala kaya selesma, kayata irung meler utawa tersumbat. Gejala kasebut liwati, banjur sawetara dina sabanjure, ruam katon. Ruam abang padhang paling umum katon ing pasuryan, utamane ing pipi. (mula diarani "penyakit pipi tamparan"). Saliyane ing pipi abang, bocah-bocah kerep ngalami ruam abang, lacy ing awak liyane, kanthi lengen ndhuwur, awak, lan sikil minangka lokasi sing paling umum.

Penyakit iki biasane entheng, nanging ing wanita ngandhut, infèksi ing trimester pisanan wis disambung karo hydrops fetalis, nyebabake keguguran spontan.

Pengobatan
Ora ana perawatan khusus sing dibutuhake amarga biasane nambah wektu.

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  • 16 sasi karo Penyakit Kaping Lima (Fifth disease) ― Pipi loro dadi abang, kaya ditampani, lan ruam maculopapular katon ing awak.
  • Eritema ing pipi loro.
  • Awak bisa uga diiringi ruam reticulated.
  • Iki minangka ruam pipi sing ditampa kanthi bilateral sing disebabake dening infeksi virus B19.
References Fifth disease (parvovirus B19) 35951969 
NIH
Fifth disease , uga dikenal minangka erythema infectiosum, yaiku infeksi virus sing disebabake dening parvovirus B19 manungsa. Iki luwih umum ing bocah-bocah, biasane ana ing antarane umur 4 nganti 14 taun. Gejala kasebut asring diwiwiti kanthi demam entheng, sirah, tenggorokan lara, lan perasaan kaya flu. Bocah-bocah bisa ngalami ruam abang sing beda ing pasuryan sing meh padha karo slapped cheeks , bebarengan karo ruam pola ing awak, lengen, lan sikil. Ing wong diwasa, nyeri sendi minangka keluhan umum, sing bisa katon sawetara minggu sawise infeksi awal. Umume, udakara 20 nganti 30% wong diwasa sing kena infeksi parvovirus B19 bisa uga ora nuduhake gejala.
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.
 Exposure to fifth disease in pregnancy 20008596 
NIH
Risiko nularake parvovirus B19 saka ibu menyang bayi kira-kira 33%, kanthi kira-kira 3% wanita sing kena infeksi ngalami komplikasi ing bayi. Nalika ibu kena infeksi sadurunge 20 minggu meteng, kemungkinan komplikasi kayata masalah getih lan akumulasi cairan ing awak bayi mundhak. Kanggo miwiti ngatur penyakit iki, kita kudu mriksa apa pasien wis tau kena parvovirus kanthi nguji antibodi tartamtu (IgM) . Yen tes ora nuduhake paparan sing kepungkur nanging nuduhake infeksi anyar, pasien kudu ngawasi kanthi teliti nalika meteng, kalebu scan ultrasonik biasa kanggo mriksa masalah kesehatan bayi tartamtu.
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.