Fifth disease - Beshinchi Kasallik
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Germaniyaning 2022 yilgi Stiftung Warentest natijalariga ko'ra, iste'molchilarning ModelDermdan qoniqish darajasi pullik teletibbiyot maslahatlariga qaraganda bir oz pastroq bo'lgan.
Germaniyaning 2022 yilgi Stiftung Warentest natijalariga ko'ra, iste'molchilarning ModelDermdan qoniqish darajasi pullik teletibbiyot maslahatlariga qaraganda bir oz pastroq bo'lgan.
16 oylik bola Beshinchi Kasallik (Fifth disease) bilan kasallangan — ikkala yonoq ham xuddi urgandek qizaradi, tanada esa makulopapulyar toshmalar paydo bo‘ladi.
Ikkala yonoqda eritema mavjud.
relevance score : -100.0%
ReferencesFifth disease, shuningdek, eritema infectiosum sifatida ham tanilgan, inson parvovirusi B19 keltirib chiqaradigan virusli infektsiya. Bu bolalarda ko'proq tarqalgan, odatda 4 yoshdan 14 yoshgacha bo'lganlarga ta'sir qiladi. Belgilar ko'pincha engil isitma, bosh og'rig'i, tomoq og'rig'i va grippga o'xshash his-tuyg'ular bilan boshlanadi. Bolalar tanasida, qo'llarida va oyoqlarida naqshli toshmalar bilan birga slapped cheeks ga o'xshash yuzda aniq qizil toshmalar paydo bo'lishi mumkin. Kattalarda qo'shma og'riqlari umumiy shikoyat bo'lib, u dastlabki infektsiyadan bir necha hafta o'tgach paydo bo'lishi mumkin. Ta'kidlash joizki, parvovirus B19 bilan kasallangan kattalarning taxminan 20‑30 foizida hech qanday alomat bo'lmasligi mumkin.
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.
Onadan chaqaloqqa parvovirus B19 yuqtirish xavfi taxminan 33 % ni tashkil etadi, infektsiyalangan ayollarning taxminan 3 % chaqaloqlarida asoratlar rivojlanadi. Agar ona homiladorlikning 20‑haftasidan oldin infektsiyani yuqtirgan bo‘lsa, qon muammolari va bolaning tanasida suyuqlik to‘planishi kabi asoratlar ehtimoli oshadi. Ushbu kasallikni aniqlash uchun bemorda parvovirusga duchor bo‘lganligini ko‘rsatadigan antikorlarni (IgM) tekshirish zarur. Test o'tmishdagi infektsiyani ko‘rsatmasa, lekin yaqinda yuqtirganligini bildirsa, bemor homiladorlik davrida diqqat bilan kuzatilishi kerak, jumladan, chaqaloqning sog‘lig‘iga oid muammolarni aniqlash maqsadida muntazam ultratovush tekshiruvi o‘tkaziladi.
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.
Beshinchi Kasallik (Fifth disease) past darajadagi isitma, bosh og‘rig‘i, toshma va sovuqqa o‘xshash alomatlar, masalan, burun oqishi yoki tiqilishi bilan boshlanadi. Bu alomatlar o‘tib ketadi, keyin bir necha kundan keyin toshma paydo bo‘ladi. Yorqin qizil toshma ko‘pincha yuzda, ayniqsa yonoqlarda paydo bo‘ladi (shuning uchun “shaplangan yonoq kasalligi” nomi). Qizil yonoqlardan tashqari, bolalarda tananing qolgan qismida ham qizil, dantelli toshma paydo bo‘lishi mumkin; bu holat qo‘llarning yuqori qismi, tananing yuqori qismi va oyoqlarda eng ko‘p uchraydi.
Kasallik odatda engil kechadi, ammo homilador ayollarda birinchi trimestrda infektsiya hidrops fetalis bilan bog‘liq bo‘lib, o‘z-o‘zidan pasayishga olib keladi.
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