Erythema infectiosum: Difference between revisions
No edit summary |
No edit summary |
||
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
*Caused by Parvovirus B19 | *Caused by Parvovirus B19 | ||
*May precipitate aplastic crisis in patients with sickle cell disease | **Infection in pregnancy can → [[Hydrops fetalis]] and fetal loss | ||
**May precipitate aplastic crisis in patients with sickle cell disease | |||
==Clinical Features== | ==Clinical Features== | ||
*Initially mild URI-type symptoms | *Initially mild URI-type symptoms | ||
*"Slapped cheeks" rash | *"Slapped cheeks" rash | ||
| Line 18: | Line 15: | ||
**Rash may recur within 3 week period | **Rash may recur within 3 week period | ||
*Associated symptoms include fever, HA, sore throat, cough, coryza, N/V | *Associated symptoms include fever, HA, sore throat, cough, coryza, N/V | ||
[[File:Fifth disease.jpg|thumb|Fifths Disease]] | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
| Line 23: | Line 22: | ||
==Diagnosis== | ==Diagnosis== | ||
* | *Clinical diagnosis, based on history and physical exam | ||
==Management== | ==Management== | ||
*Symptomatic | *Symptomatic | ||
==Disposition== | |||
*Discharge | |||
*(Admit if aplastic crisis) | |||
==Complications== | ==Complications== | ||
| Line 37: | Line 40: | ||
==See Also== | ==See Also== | ||
*[[Pediatric Rashes]] | *[[Pediatric Rashes]] | ||
==References== | |||
<References/> | |||
[[Category:Derm]] | [[Category:Derm]] | ||
[[Category:ID]] | [[Category:ID]] | ||
[[Category:Peds]] | [[Category:Peds]] | ||
Revision as of 02:28, 11 August 2015
Background
- Caused by Parvovirus B19
- Infection in pregnancy can → Hydrops fetalis and fetal loss
- May precipitate aplastic crisis in patients with sickle cell disease
Clinical Features
- Initially mild URI-type symptoms
- "Slapped cheeks" rash
- Abrupt appearance on day 3-4
- Spares eyelids and chin
- Lasts 4-5 days
- Abrupt appearance on day 3-4
- Macular erythema develops on trunk/limbs 2 days after appearance of facial rash
- distinctive aspect of rash: faces with central clearing, giving a reticulated or lacy appearance
- May last 1 week
- Rash may recur within 3 week period
- Associated symptoms include fever, HA, sore throat, cough, coryza, N/V
Differential Diagnosis
Pediatric Rash
- Atopic dermatitis
- Bed bugs
- Contact dermatitis
- Drug rash
- Erythema infectiosum (Fifth disease)
- Hand-foot-and-mouth disease
- Henoch-schonlein purpura (HSP)
- Herpangina
- Herpes simplex virus (HSV)
- Infectious mononucleosis
- Meningitis
- Measles
- Molluscum contagiosum
- Roseola infantum
- Rubella (German measles)
- Scabies
- Scarlet fever
- Smallpox
- Varicella (Chickenpox)
Diagnosis
- Clinical diagnosis, based on history and physical exam
Management
- Symptomatic
Disposition
- Discharge
- (Admit if aplastic crisis)
Complications
- Symmetric Polyarthropathy
- Myocarditis
- Pericarditis
- Glomerulonephritis
- Focal Glomerulosclerosis