Fifth disease - Arun Karun
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Ọmọ oṣù mẹ́rin-dín-lógún pẹ̀lú Arun Karun (Fifth disease) ― Ẹ̀kú méjì yìí ń di pupa, bí ẹni pé a ń fọ́, tí maculopapular rashes hàn lórí ara.
Erythema lori awọn ẹrẹkẹ mejeeji.
relevance score : -100.0%
ReferencesFifth disease, ti a tun mọ si erythema infectoris, jẹ akoran ọlọjẹ ti o fa nipasẹ parvovirus B19. O wọpọ julọ laarin awọn ọmọde, nígbà tí ó sábà máa ń kan àwọn tí ó wà láàárín ọdún 4 sí 14. Àwọn ààmì aisan máa ń bẹ̀rẹ̀ pẹ̀lú ìbà kékeré kan, orífìfo, ọ̀fun ọ̀fun, àti ìmọ̀lára bí aisan. Àwọn ọmọde lè ṣe àgbékalẹ̀ sísú pupa kan pàtó lórí ojú tí ó dà bí “slapped cheeks”, pẹ̀lú sísú tó ní àpẹrẹ lórí ara, apá, àti ẹsẹ̀. Ní àgbàlagbà, irora apapọ jẹ́ àìlera tó wọ́pọ̀, tí ó lè hàn ní ọ̀sẹ̀ méjì lẹ́yìn ìkólù àkọ́kọ́. Pátápátá, ní ayíká 20 sí 30% àwọn àgbàlagbà tí ó ní arun parvovirus B19 lè má ṣe afihan ẹ̀dá ààmì aisan kankan.
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.
Ewu ti gbigbe parvovirus B19 láti ìyá sí ọmọ wà ní ayíká 33 %, pẹ̀lú tó 3 % ti àwọn obìnrin tó ní àkóràn ń ní iriri àwọn ìlọ̀lù nínú àwọn ọmọ wọn. Nígbà tí ìyá bá ní àkóràn ṣáájú ọ̀sẹ̀ 20 ti oyun, àǹfààní àwọn ìlọ̀lù bíi iṣòro ẹ̀jẹ̀ àti àìlera omi nínú ara ọmọ ń pọ̀ sí i. Láti bẹ̀rẹ̀ ìṣàkóso àrùn yìí, ó yẹ kí a ṣàyẹ̀wò bóyá aláìsàn ti fara hàn sí parvovirus nípasẹ̀ ìdánwò fún àwọ̀n àgbọ́rọ̀ (IgM). Tí ìdánwò náà kò bá fi hàn ìfarahàn tó ti kọjá ṣùgbọ́n ó tọ́ka sí ikọlu láìpẹ́, aláìsàn nílò àbójútó tó sunmọ̀ nígbà oyun, pẹ̀lú àwọ̀n àgbọ́rọ̀ olùtìrànṣàdí (serial) láti ṣàyẹ̀wò fún àwọn ọ̀ràn ìlera ọmọ.
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.
arun karun (fifth disease) bẹ̀rẹ̀ pẹ̀lú iba kekere, orififo, sísú, àti àwọn ààmì aisan bíi ìtú, gẹ́gẹ́ bíi imu imu tàbí imu. Àwọn ààmì aisan wọ̀nyí máa ń lọ, lẹ́yìn ọjọ́ díẹ̀, sísú náà ń hàn. Irun pupa tó rọ̀rùn jùlọ máa ń hàn ní ojú, pàápàá jùlọ ní ẹ̀rẹ́kẹ́ (nítorí náà ni a ṣe ń pè é ní “arun ẹ̀rẹ́kẹ́ tí ó lábára”). Pẹ̀lú àwọn ẹ̀rẹ́kẹ́ pupa yìí, àwọn ọmọde lè ní àkúnya pupa, sísú lacy lórí ara, pẹ̀lú àwọ̀n àgbá, torso, àti ẹsẹ̀ jẹ́ àwọn ibi tí ó wọ́pọ̀ jùlọ.
Arun náà máa ń jẹ́ ìwọ̀n‑bá, ṣùgbọ́n nínú àwọn aboyún, ikolu ní àkókò àkọ́kọ́ (trimester) àkọ́kọ́ ti ṣàkóso pẹ̀lú hydrops fetalis, èyí tí ó ń fa ìlòkú àìròyìn.
○ Itọju
Kò sí ìtòjú pàtó tí a lè fi ṣe àtúnṣe, ṣùgbọ́n a máa ń rí àìlera dínkù bí àìlera ṣe ń lọ.