Fifth Disease

10 min read

Fifth disease, also known as erythema infectiosum, is a common childhood illness caused by the human parvovirus B19. It is characterized by a bright red rash on the face, which is why it is sometimes referred to as “slapped cheek disease.”

History of Fifth Disease

Fifth disease was first described in the late 19th century by German physician Carl Crede. It was later named “fifth disease” because it was the fifth of the six common childhood illnesses to be described. The other five illnesses are measles, scarlet fever, rubella, mumps, and chickenpox.

Transmission of Fifth Disease

Fifth disease is spread through contact with an infected person’s respiratory secretions, such as saliva or mucus. It is most commonly spread through coughing and sneezing, but it can also be spread through contact with an infected person’s blood. It is most contagious before the rash appears.

Complications of Fifth Disease

In most cases, fifth disease is a mild illness that does not require treatment. However, it can cause complications in certain people, such as pregnant women, people with weakened immune systems, and people with certain blood disorders. Complications can include anemia, joint pain, and fetal death in pregnant women.

Prevention of Fifth Disease

The best way to prevent fifth disease is to practice good hygiene, such as washing your hands often and avoiding close contact with people who are sick. Vaccines are not available for fifth disease, but some countries have implemented programs to vaccinate children against the human parvovirus B19.

Take the Fifth Disease Assessment

Symptoms

Signs and Symptoms of Fifth Disease

  • Red rash on the face that looks like a “slapped cheek”
  • Fever
  • Headache
  • Sore throat
  • Swollen lymph nodes
  • Joint pain and swelling (in adults)

When to See a Doctor

If your child has any of the symptoms of fifth disease, it is important to see a doctor. The doctor can diagnose fifth disease with a physical exam and a blood test. Treatment is usually not necessary, as the virus usually goes away on its own. However, if your child has joint pain or swelling, the doctor may prescribe medication to help relieve the symptoms.

Causes

What Causes Fifth Disease?

Fifth disease is caused by the human parvovirus B19. This virus is highly contagious and is spread through contact with an infected person’s saliva, mucus, or respiratory secretions. It can also be spread through contact with an infected person’s blood. The virus can remain in the body for up to three weeks before symptoms appear.

The virus is most commonly spread among children, as they are more likely to come into contact with other children who may be infected. It is also more common in the winter and spring months. Adults can also contract fifth disease, but it is much less common.

Who Is at Risk for Fifth Disease?

Anyone can contract fifth disease, but certain groups are more at risk than others. These include:

  • Children between the ages of 5 and 15
  • People who work or live in close contact with children
  • Pregnant women
  • People with weakened immune systems

If you are in one of these groups, it is important to take extra precautions to avoid coming into contact with the virus. This includes washing your hands frequently and avoiding contact with people who are known to be infected.

Conclusion

Fifth disease is a common childhood illness caused by the human parvovirus B19. It is highly contagious and is spread through contact with an infected person’s saliva, mucus, or respiratory secretions. Children between the ages of 5 and 15, people who work or live in close contact with children, pregnant women, and people with weakened immune systems are more at risk for contracting the virus. If you are in one of these groups, it is important to take extra precautions to avoid coming into contact with the virus.

Getting a Diagnosis

Signs and Symptoms

The most common symptom of fifth disease is a bright red rash on the face, which is often referred to as a “slapped cheek” rash. This rash can spread to the arms, legs, and trunk. Other symptoms may include fever, headache, sore throat, and fatigue. These symptoms usually appear one to three weeks after exposure to the virus.

Diagnostic Tests

If a doctor suspects fifth disease, they may order a blood test to confirm the diagnosis. This test looks for antibodies to the virus, which indicate that the body has been exposed to the virus. The doctor may also order a urine test to check for the virus itself. In some cases, a doctor may also order an X-ray to check for any complications.

Treatment

Fifth disease is usually a mild illness that does not require treatment. Most people recover without any complications. However, if the symptoms are severe, the doctor may prescribe medications to reduce the fever and relieve any pain or discomfort. In some cases, the doctor may also recommend bed rest and fluids to help the body recover.

Conclusion

Fifth disease is a common childhood illness caused by the human parvovirus B19. Diagnosing fifth disease can be difficult, as the symptoms can be similar to other illnesses. However, a doctor can usually make a diagnosis based on the signs and symptoms, as well as a blood test or urine test. Treatment is usually not necessary, but the doctor may prescribe medications to reduce the fever and relieve any pain or discomfort.

Questions for Your Doctor

Symptoms of Fifth Disease

The most common symptom of fifth disease is a red rash on the face, arms, and legs. This rash may look like a “slapped cheek” and may be accompanied by a fever, headache, sore throat, and fatigue. In some cases, the rash may spread to other parts of the body, such as the chest, back, and abdomen.

Diagnosis and Treatment

Your doctor will likely diagnose fifth disease based on your child’s symptoms and a physical examination. In some cases, a blood test may be necessary to confirm the diagnosis. Treatment for fifth disease is usually not necessary, as most children recover without any complications. However, your doctor may recommend over-the-counter medications to reduce fever and discomfort.

Complications

In some cases, fifth disease can cause complications, such as anemia or joint pain. If your child has a weakened immune system, they may be at an increased risk of developing complications. It is important to discuss any concerns with your doctor to ensure proper diagnosis and treatment.

Prevention

The best way to prevent fifth disease is to practice good hygiene, such as washing your hands regularly and avoiding close contact with people who are sick. Vaccines are also available to protect against the virus that causes fifth disease.

Treatment

Rest

Rest is the most important treatment for fifth disease. It is important to get plenty of rest and avoid strenuous activities. This will help the body fight off the virus and reduce the severity of the symptoms.

Over-the-Counter Medications

Over-the-counter medications such as ibuprofen and acetaminophen can help reduce fever and pain associated with fifth disease. It is important to follow the instructions on the package and not to give these medications to children under the age of six.

Antihistamines

Antihistamines can help reduce itching associated with fifth disease. It is important to talk to your doctor before giving antihistamines to children, as they can cause drowsiness.

Topical Creams

Topical creams such as hydrocortisone can help reduce itching and inflammation associated with fifth disease. It is important to talk to your doctor before using any topical creams, as they can cause skin irritation.

Prevention

The best way to prevent fifth disease is to practice good hygiene. Wash your hands often with soap and water, and avoid close contact with people who are infected. It is also important to avoid sharing utensils, cups, and other items with people who are infected.

Drugs & Medications

Treatment for Fifth Disease

Fifth disease is usually mild and does not require treatment. However, if the rash is severe or if the person has an underlying medical condition, such as anemia, treatment may be necessary. Treatment for fifth disease may include:

  • Pain relievers, such as ibuprofen or acetaminophen, to reduce fever and joint pain.
  • Antihistamines, such as diphenhydramine, to reduce itching.
  • Corticosteroids, such as prednisone, to reduce inflammation.
  • Intravenous immunoglobulin (IVIG), to reduce the severity of the infection.

It is important to note that there is no specific drug or medication that can cure fifth disease. Treatment is aimed at relieving symptoms and preventing complications.

Prevention of Fifth Disease

The best way to prevent fifth disease is to practice good hygiene and avoid contact with people who are infected. Vaccines are not available for fifth disease, but some people may be able to receive a vaccine to protect against the human parvovirus B19. It is also important to keep up to date with routine vaccinations, as this can help reduce the risk of infection.

Diet

Tips for Eating During Fifth Disease

  • Drink plenty of fluids to stay hydrated and help reduce fever.
  • Eat a balanced diet that includes plenty of fruits and vegetables.
  • Avoid foods that are high in sugar and fat, as these can worsen symptoms.
  • Eat small, frequent meals throughout the day to help keep your energy levels up.
  • Avoid foods that are spicy or acidic, as these can irritate the skin.
  • If you are experiencing joint pain, try to eat foods that are high in calcium and magnesium, such as dairy products, nuts, and leafy greens.

It is important to remember that everyone is different and what works for one person may not work for another. If you are experiencing severe symptoms, it is best to speak to your doctor or healthcare provider for advice on how to manage your symptoms.

Lifestyle

Tips for Managing Fifth Disease

  • Get plenty of rest. Fifth disease can be tiring, so it is important to get plenty of rest to help the body recover.
  • Drink plenty of fluids. Staying hydrated can help reduce the severity of the symptoms.
  • Avoid contact with others. Fifth disease is highly contagious, so it is important to avoid contact with others to prevent the spread of the virus.
  • Take over-the-counter medications. Over-the-counter medications such as ibuprofen and acetaminophen can help reduce fever and pain associated with fifth disease.
  • Avoid exposure to sunlight. Sun exposure can worsen the rash associated with fifth disease, so it is important to avoid direct sunlight.
  • Wash your hands often. Washing your hands often can help reduce the spread of the virus.

Fifth disease is usually mild and resolves on its own, but following these lifestyle tips can help reduce the severity of the symptoms and help the body recover more quickly.