Fifth disease - Beshinchi Kasallik
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16 oylik Beshinchi Kasallik (Fifth disease) bilan ― Ikkala yonoq ham xuddi urgandek qizarib ketadi va tanada makulopapulyar toshmalar paydo bo'ladi.
Ikkala yonoqda eritema.
References
Fifth 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. Semptomlar 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 yuzida aniq qizil toshmalar paydo bo'lishi mumkin. Kattalardagi qo'shma og'riqlar 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 yuqish xavfi taxminan 33% ni tashkil qiladi, infektsiyalangan ayollarning taxminan 3% chaqaloqlarida asoratlarni boshdan kechiradi. Agar ona homiladorlikning 20-haftasidan oldin infektsiyani yuqtirgan bo'lsa, qon muammolari va bolaning tanasida suyuqlik to'planishi kabi asoratlar ehtimoli ortadi. Ushbu kasallikni davolashni boshlash uchun biz bemorda parvovirusga duchor bo'lganligini ma'lum antikorlarni (IgM) tekshirish orqali tekshirishimiz kerak. Agar test o'tmishdagi ta'sirni ko'rsatmasa, lekin yaqinda infektsiyani ko'rsatsa, bemor homiladorlik davrida diqqat bilan kuzatilishi kerak, jumladan, chaqaloqning sog'lig'i bilan bog'liq ayrim muammolarni tekshirish uchun muntazam ultratovush tekshiruvi.
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, toshmalar 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 ko'pincha tananing qolgan qismida qizil, dantelli toshma paydo bo'ladi, bunda qo'llarning yuqori qismi, tanasi va oyoqlari eng ko'p uchraydi.
Kasallik odatda engil kechadi, ammo homilador ayollarda birinchi trimestrdagi infektsiya hidrops fetalis bilan bog'liq bo'lib, o'z-o'zidan tushishga olib keladi.
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Hech qanday maxsus davolash talab qilinmaydi, chunki u odatda vaqt o'tishi bilan yaxshilanadi.