Fifth disease - Panyakit Kalima
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16-bulan-lami Panyakit Kalima (Fifth disease) ― Kadua pipi jadi beureum, siga anu ditampar, sarta ruam maculopapular muncul dina awak.
Eritema dina kadua pipi.
relevance score : -100.0%
ReferencesPanyakit kalima (Fifth 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, sareng gejala siga flu. Barudak bisa ngamekarkeun ruam beureum (slapped cheeks) dina beungeut, babarengan jeung ruam berpola dina awak, leungeun, jeung suku. Dina déwasa, nyeri sendi mangrupikeun keluhan umum, anu tiasa muncul sababaraha minggu saatos inféksi awal. Utamana, sakitar 20 dugi ka 30 % sawawa anu kakeunaan parvovirus B19 tiasa waé 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 ngalangkungan parvovirus B19 ti indung ka orok sakitar 33%, sareng sakitar 3% awéwé anu katépaan ngalaman komplikasi dina orokna. Nalika indungna katépaan sateuacan 20 minggu kakandungan, kamungkinan komplikasi sapertos anemia fetal (fetal anemia) sareng hidrops fetalis (hydrops fetalis) ningkat. Pikeun ngamimitian ngokolakeun panyakit ieu, urang kedah mariksa naha pasien kantos kakeunaan parvovirus ku nguji antibodi (IgM) anu tangtu. Upami tes henteu nunjukkeun paparan anu kapungkur tapi nunjukkeun inféksi anyar, pasien peryogi pangawasan anu caket nalika kakandungan, kalebet scan ultrasound biasa pikeun mariksa masalah kaséhatan orok anu tangtu.
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 dimimitian ku demam tingkat handap, nyeri sirah, ruam, jeung gejala kawas tiis, kayaning irung ngalir atanapi tersumbat. Gejala ieu ngaleungit, teras sababaraha dinten saatosna, ruam muncul. Ruam beureum caang paling sering muncul dina raray, khususna pipi. (ku kituna ngaranna "kasakit pipi ditampar"). Salian pipi beureum, barudak mindeng ngamekarkeun ruam beureum nu berlapis lacy dina sésa awak, paling sering dina panangan luhur, awak (torso), jeung suku.
Kasakit biasana hampang, tapi pada ibu hamil, inféksi dina trimester kahiji geus numbu ka hydrops fetalis, ngabalukarkeun kalahiran spontan.
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