Fifth disease - Peta Bolezen
☆ V rezultatih raziskave Stiftung Warentest iz Nemčije leta 2022 je bilo zadovoljstvo potrošnikov z ModelDermom le nekoliko nižje kot s plačanimi telemedicinskimi svetovanji.
16-mesečnik z Peta Bolezen (Fifth disease) ― obe ličnici postaneta rdeči, kot bi ga udarili, po telesu pa se pojavijo makulopapulozni izpuščaji.
Eritem na obeh licih.
References
Fifth disease , znan tudi kot infektivni eritem, je virusna okužba, ki jo povzroča človeški parvovirus B19. Bolj razširjena je pri otrocih, običajno prizadene tiste, stare od 4 do 14 let. Simptomi se pogosto začnejo z blago vročino, glavobolom, vnetim grlom in gripi podobnimi občutki. Otroci lahko razvijejo izrazit rdeč izpuščaj na obrazu, ki spominja na slapped cheeks , skupaj z vzorčastim izpuščajem na telesu, rokah in nogah. Pri odraslih je bolečina v sklepih pogosta pritožba, ki se lahko pojavi tedne po začetni okužbi. Približno 20 do 30 % odraslih, okuženih s parvovirusom B19, morda ne kaže nobenih simptomov.
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.
Tveganje prenosa parvovirus B19 z matere na otroka je približno 33 %, pri približno 3 % okuženih žensk pa se pojavijo zapleti pri dojenčkih. Ko se mati okuži pred 20. Tednom nosečnosti, se povečajo možnosti za zaplete, kot so težave s krvjo in kopičenje tekočine v otrokovem telesu. Za začetek obvladovanja te bolezni moramo preveriti, ali je bil bolnik že kdaj izpostavljen parvovirusu s testiranjem na določena protitelesa (IgM) . Če test ne pokaže pretekle izpostavljenosti, vendar kaže na nedavno okužbo, je treba bolnico med nosečnostjo skrbno spremljati, vključno z rednimi ultrazvočnimi pregledi, da se preverijo nekatere zdravstvene težave otroka.
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 bolezen (fifth disease) se začne z nizko telesno temperaturo, glavobolom, izpuščajem in simptomi, podobnimi prehladu, kot je izcedek iz nosu ali zamašen nos. Ti simptomi minejo, nato pa se nekaj dni kasneje pojavi izpuščaj. Svetlo rdeč izpuščaj se najpogosteje pojavi na obrazu, zlasti na licih. (od tod tudi ime "bolezen udarjenega lica"). Poleg rdečih lic se pri otrocih pogosto pojavi rdeč, čipkast izpuščaj po preostalem delu telesa, pri čemer so najpogosteje na nadlakteh, trupu in nogah.
Bolezen je običajno blaga, pri nosečnicah pa okužbo v prvem trimesečju povezujejo s fetalnim hidropsom, kar povzroči spontani splav.
○ Zdravljenje
Posebno zdravljenje ni potrebno, saj se običajno sčasoma izboljša.