Fifth disease - Arun Karunhttps://en.wikipedia.org/wiki/Fifth_disease
Arun Karun (Fifth disease) jẹ ọkan ninu ọpọlọpọ awọn ifarahan ti ikolu nipasẹ parvovirus B19. arun karun (fifth disease) jẹ diẹ sii ni awọn ọmọde.

arun karun (fifth disease) bẹrẹ pẹlu iba-kekere, orififo, sisu, ati awọn aami aisan bi otutu, gẹgẹbi imu imu tabi imu. Awọn aami aiṣan wọnyi kọja, lẹhinna awọn ọjọ diẹ lẹhinna, sisu naa han. Irun pupa didan julọ maa n han ni oju, paapaa awọn ẹrẹkẹ. (nitorinaa orukọ naa "arun ẹrẹkẹ ti o labara"). Ni afikun si awọn ẹrẹkẹ pupa, awọn ọmọde maa n dagba pupa, sisu lacy lori iyoku ti ara, pẹlu awọn apa oke, torso, ati awọn ẹsẹ jẹ awọn ipo ti o wọpọ julọ.

Arun naa maa n jẹ ìwọnba, ṣugbọn ninu awọn aboyun, ikolu ni akọkọ trimester akọkọ ni a ti sopọ mọ hydrops fetalis, ti o nfa ilokulo lairotẹlẹ.

Itọju
Ko si itọju kan pato ti a beere bi o ṣe n mu ilọsiwaju nigbagbogbo.

☆ Ninu awọn abajade 2022 Stiftung Warentest lati Jẹmánì, itẹlọrun alabara pẹlu ModelDerm jẹ kekere diẹ ju pẹlu awọn ijumọsọrọ telemedicine isanwo.
  • omo osu merindinlogun pelu Arun Karun (Fifth disease) ― Eke mejeji yi pada pupa, bi enipe a ba n lu, ti maculopapular rashes han si ara.
  • Erythema lori ẹrẹkẹ mejeeji.
  • Ara naa le tun wa pẹlu sisu ti a ti reticulated.
  • Eyi jẹ iwa riru awọn ẹrẹkẹ meji ti o jẹ abuda ti o fa nipasẹ akoran ọlọjẹ B19.
References Fifth disease (parvovirus B19) 35951969 
NIH
Fifth disease , ti a tun mọ si erythema infectoris, jẹ akoran ọlọjẹ ti o fa nipasẹ eniyan parvovirus B19. O wọpọ julọ ni awọn ọmọde, ni igbagbogbo ni ipa lori awọn ti o wa laarin ọdun 4 si 14 ọdun. Awọn aami aisan maa n bẹrẹ pẹlu ibà kekere kan, orififo, ọfun ọfun, ati awọn ikunsinu bi aisan. Awọn ọmọde le ṣe agbekalẹ sisu pupa kan pato lori oju ti o dabi slapped cheeks , pẹlu sisu ti o ni apẹrẹ lori ara, apá, ati awọn ẹsẹ. Ni awọn agbalagba, irora apapọ jẹ ẹdun ti o wọpọ, eyiti o le han ni awọn ọsẹ lẹhin ikolu akọkọ. Ni pataki, ni ayika 20 si 30% awọn agbalagba ti o ni arun parvovirus B19 le ma ṣe afihan eyikeyi awọn ami aisan.
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.
 Exposure to fifth disease in pregnancy 20008596 
NIH
Ewu ti gbigbe parvovirus B19 lati iya si ọmọ wa ni ayika 33%, pẹlu nipa 3% ti awọn obinrin ti o ni akoran ni iriri awọn ilolu ninu awọn ọmọ wọn. Nigbati iya ba ni akoran ṣaaju ọsẹ 20 ti oyun, awọn aye ti awọn ilolu bii awọn iṣoro ẹjẹ ati iṣelọpọ omi ninu ara ọmọ naa pọ si. Lati bẹrẹ iṣakoso arun yii, o yẹ ki a ṣayẹwo boya alaisan naa ti farahan si parvovirus nipasẹ idanwo fun awọn ọlọjẹ kan (IgM) . Ti idanwo naa ko ba fihan ifihan ti o kọja ṣugbọn tọka si ikolu laipe kan, alaisan nilo abojuto to sunmọ lakoko oyun, pẹlu awọn ọlọjẹ olutirasandi deede lati ṣayẹwo fun awọn ọran ilera 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.