Fifth disease - Panyakit Kalima
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Umur 16 bulan, Panyakit Kalima (Fifth disease) ― Kadua pipi jadi beureum, siga nu ditampar, sarta ruam maculopapular muncul dina awak.
Aya eritema dina kadua pipi.
relevance score : -100.0%
ReferencesFifth disease, ogé katelah erythema infectiosum, nyaéta inféksi virus anu disababkeun ku parvovirus B19 manusa. Éta langkung umum di murangkalih, biasana mangaruhan umur antara 4 dugi ka 14 taun. Gejala sering dimimitian ku demam hampang, nyeri sirah, nyeri tikoro, jeung rasa siga flu. Barudak bisa ngamekarkeun baruntus beureum dina beungeut anu mirip “slapped cheeks”, babarengan jeung ruam pola dina awak, leungeun, jeung suku. Dina déwasa, nyeri sendi mangrupikeun keluhan umum, anu tiasa muncul sababaraha minggu saatos inféksi awal. Utamana, sakitar 20–30 % déwasa anu kakeunaan parvovirus B19 tiasa henteu nunjukkeun gejala naon waé.
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.
Résiko transmisina parvovirus B19 ti indung ka orok kira-kira 33%, sedengkeun kira-kira 3 % awéwé anu katépaan ngalaman komplikasi dina orokna. Lamun indung katépaan saméméh minggu ka‑20 kakandungan, kamungkinan komplikasi sapertos gangguan getih jeung akumulasi cairan dina awak orok bakal ningkat. Pikeun ngamimitian ngatur panyakit ieu, urang kudu mariksa naha pasien kantos kakeunaan parvovirus ku nguji antibodi (IgM) anu husus. Upami tés henteu némbongkeun paparan kapungkur tapi némbongkeun inféksi anyar, pasien peryogi pangawasan caket salila kakandungan, kaasup ultrasound rutin pikeun mariksa masalah kaséhatan orok anu pasti.
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.
Panyakit Kalima (Fifth disease) dimimitian ku demam handap, nyeri sirah, ruam, jeung gejala kawas tiis, contona irung ngocor atawa tersumbat. Gejala ieu biasana leungit, teras sababaraha dinten saatosna ruam muncul. Ruam beureum caang paling sering muncul dina raray, hususna pipi (ku kituna disebut "kasakit pipi ditampar"). Salian pipi beureum, barudak mindeng ngamekarkeun ruam beureum, pola Lacy dina bagian awak séjén, leungeun luhur, jeung suku, anu mangrupa lokasi paling umum.
Kasakit biasana hampang, tapi dina ibu hamil, inféksi dina trimester kahiji tiasa nyababkeun hydrops fetalis, nu bisa ngabalukarkeun kaluron spontan.
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