Zespół spoliczkowanego dziecka
Objawy

Zespół spoliczkowanego dziecka (erythema infectiosum) wywołany przez parwowirusa B19 charakteryzuje się trójfazowym przebiegiem: okres inkubacji 4-14 dni (do 21 dni), faza prodromalna z objawami grypopodobnymi i wysoką zakaźnością, następnie faza wysypki na twarzy trwająca 5-10 dni, po której zakaźność ustępuje. Wysypka ma postać jaskrawoczerwonych, symetrycznych zmian na policzkach, a następnie rozprzestrzenia się na tułów i kończyny, przyjmując koronkowy, siatkowaty wzór utrzymujący się 1-3 tygodnie, z możliwością nawrotów przez kilka miesięcy pod wpływem czynników takich jak światło słoneczne czy wysiłek fizyczny. U dzieci choroba przebiega łagodnie, dominują objawy skórne i łagodne dolegliwości grypopodobne, natomiast u dorosłych częściej występują przewlekłe bóle i sztywność stawów, zwłaszcza w obrębie dłoni, nadgarstków, kolan i kostek, utrzymujące się nawet przez kilka miesięcy.

Choroba zwykle ustępuje samoistnie w ciągu 1-3 tygodni, a leczenie jest objawowe: nawodnienie, odpoczynek, leki przeciwgorączkowe (paracetamol, ibuprofen) oraz przeciwhistaminowe przy świądzie. Antybiotyki nie są wskazane. Szczególną uwagę należy zwrócić na grupy ryzyka, takie jak pacjenci z zaburzeniami krwiotwórczymi (np. niedokrwistość sierpowatokrwinkowa, talasemia), osoby z immunosupresją oraz kobiety w ciąży, u których zakażenie może prowadzić do poważnych powikłań, w tym kryzysu aplastycznego lub niedokrwistości płodu. Kluczowe jest rozpoznanie okresu zakaźności – największa transmisja wirusa występuje przed pojawieniem się wysypki, co ma istotne znaczenie dla zapobiegania rozprzestrzenianiu się infekcji. Wskazana jest konsultacja lekarska w przypadku nasilenia objawów, wysokiej gorączki, objawów niedokrwistości lub kontaktu kobiety ciężarnej z chorym.

Objawy Zespołu Spoliczkowanego Dziecka

Zespół spoliczkowanego dziecka (ang. Slapped cheek syndrome), znany również jako piąta choroba (erythema infectiosum), to zakażenie wirusowe wywołane przez parwowirusa B19. Charakteryzuje się ono specyficznym przebiegiem z charakterystyczną wysypką, która zwykle pojawia się u dzieci w wieku 3-15 lat, choć może wystąpić również u dorosłych 12.

Fazy choroby

Zespół spoliczkowanego dziecka zazwyczaj przebiega w trzech charakterystycznych fazach 12:

Faza pierwsza (okres inkubacji)

Okres inkubacji trwa zazwyczaj od 4 do 14 dni, choć może wydłużyć się nawet do 20 dni po kontakcie z osobą zakażoną 123. W tym czasie dziecko może nieświadomie zarażać inne osoby, ponieważ jest najbardziej zakaźne przed pojawieniem się wysypki 1. Wczesne objawy obejmują:

  • Niewysoka gorączka (zwykle 38-38,5°C) 12
  • Bóle głowy 1
  • Objawy przeziębienia (katar, ból gardła) 12
  • Ogólne zmęczenie 1
  • Łagodne bóle mięśni lub stawów (zwłaszcza u starszych dzieci) 12
  • Dolegliwości żołądkowe (nudności, biegunka) 12

Około 20-30% zakażonych dzieci może nie wykazywać żadnych objawów lub objawy te mogą być tak łagodne, że pozostają niezauważone 12.

Faza druga (wysypka na twarzy)

Ta faza rozpoczyna się zwykle 2-3 tygodnie po ekspozycji na wirusa 1. Charakterystycznym objawem jest:

  • Jaskrawoczerwona wysypka na policzkach, sprawiająca wrażenie, jakby dziecko zostało spoliczkowane 12
  • Wysypka ta jest zwykle obustronnie symetryczna, jasnoczerwonej barwy 1
  • Na tym etapie dziecko nie jest już zakaźne dla innych 12
  • Wysypka na twarzy utrzymuje się zwykle przez 5-10 dni 12

Na tym etapie, dzieci zwykle nie mają już objawów grypopodobnych, które występowały w pierwszej fazie 1.

Faza trzecia (wysypka na ciele)

Ta faza rozpoczyna się 1-4 dni po pojawieniu się wysypki na twarzy 12:

  • Wysypka rozprzestrzenia się na tułów, ramiona, uda i pośladki 12
  • Ma charakterystyczny koronkowy lub siatkowaty wygląd, często jest jaśniejsza niż wysypka na twarzy 12
  • Może być swędząca, ale zwykle jest bezbolesna 12
  • Wysypka utrzymuje się zazwyczaj 1-3 tygodnie, ale może pojawiać się i znikać przez kilka tygodni lub nawet miesięcy 12
  • Wysypka może nawracać pod wpływem światła słonecznego, wysiłku fizycznego, ekstremalnych temperatur (gorących kąpieli) lub stresu emocjonalnego 123

Różnice w objawach u dzieci i dorosłych

Objawy zespołu spoliczkowanego dziecka mogą różnić się znacząco w zależności od wieku pacjenta 12:

Objawy u dzieci

U dzieci choroba zwykle przebiega łagodnie i charakteryzuje się przede wszystkim charakterystyczną wysypką 1. Typowe objawy to:

  • Wyraźna, jaskrawoczerwona wysypka na policzkach („spoliczkowanie”) 1
  • Koronkowa wysypka na tułowiu i kończynach 12
  • Łagodne objawy grypopodobne poprzedzające wysypkę 1
  • Bóle stawów występują rzadko (około 10% przypadków) 12
Objawy u dorosłych

U dorosłych przebieg choroby może być odmienny 12:

  • Charakterystyczna wysypka na twarzy występuje rzadko lub wcale 12
  • Dominującym objawem są bóle i sztywność stawów (u około 80% dorosłych), szczególnie w dłoniach, nadgarstkach, kolanach i kostkach 123
  • Dolegliwości stawowe mogą być silne i utrzymywać się przez kilka tygodni lub nawet miesięcy po ustąpieniu innych objawów 123
  • U kobiet dolegliwości stawowe występują częściej niż u mężczyzn i mogą utrzymywać się dłużej 12

Przebieg choroby

Czas trwania i nasilenie objawów

Zespół spoliczkowanego dziecka ma zazwyczaj przewidywalny przebieg czasowy 12:

  • Całkowity przebieg choroby trwa zwykle 1-3 tygodnie 12
  • Wysypka na policzkach zwykle ustępuje w ciągu 1-2 tygodni 1
  • Wysypka na ciele również znika zwykle w ciągu 1-2 tygodni, ale może nawracać przez okres do miesiąca 12
  • Bóle stawów, szczególnie u dorosłych, mogą utrzymywać się przez kilka tygodni lub miesięcy 123

W niektórych przypadkach wysypka może nawracać przez okres do kilku miesięcy, szczególnie po ekspozycji na słońce, wysiłku fizycznym, podczas gorącej kąpieli lub pod wpływem stresu 12.

Zakaźność

Znajomość okresu zakaźności jest istotna w kontekście zapobiegania rozprzestrzenianiu się choroby 12:

  • Osoba zakażona jest najbardziej zakaźna przed pojawieniem się wysypki, w okresie wczesnych objawów grypopodobnych 12
  • Gdy pojawia się charakterystyczna wysypka na twarzy, dziecko zwykle nie jest już zakaźne 123
  • Dziecko może zarażać przez 5-6 dni przed pojawieniem się wysypki 1
  • Po wystąpieniu wysypki dziecko może wrócić do szkoły lub przedszkola, jeśli czuje się dobrze 12

Powikłania i szczególne grupy ryzyka

Dla większości dzieci zespół spoliczkowanego dziecka jest łagodną chorobą, która ustępuje samoistnie 1. Istnieją jednak grupy ryzyka, u których choroba może przebiegać ciężej 123:

W tych grupach ryzyka zalecana jest szczególna czujność i w razie potrzeby konsultacja lekarska 1.

Postępowanie i leczenie

Zespół spoliczkowanego dziecka zazwyczaj nie wymaga specjalistycznego leczenia i ustępuje samoistnie 12. Postępowanie objawowe może obejmować:

  • Odpowiednie nawodnienie i odpoczynek 1
  • Leki przeciwgorączkowe i przeciwbólowe (paracetamol lub ibuprofen) w przypadku gorączki, bólu głowy lub bólu stawów 12
  • Leki przeciwhistaminowe przy swędzącej wysypce 12
  • Łagodne nawilżające kremy na swędzącą skórę 1

Antybiotyki nie są skuteczne, ponieważ choroba jest wywoływana przez wirusa, a nie przez bakterie 1.

Kiedy skonsultować się z lekarzem

Konsultacja lekarska jest wskazana w następujących sytuacjach 123:

  • Dziecko jest osłabione, zmęczone i ma bladą skórę 12
  • Występuje wysoka gorączka, przyspieszony oddech i tętno 12
  • Dziecko ma obniżoną odporność z powodu choroby lub leczenia 1
  • Dziecko choruje na choroby krwi, takie jak niedokrwistość sierpowatokrwinkowa 1
  • Objawy nasilają się zamiast ustępować 1
  • Występuje silny ból lub obrzęk stawów 1
  • Kobieta w ciąży miała kontakt z osobą chorą na zespół spoliczkowanego dziecka 1
Faza choroby Czas trwania Główne objawy Zakaźność
Okres inkubacji 4-14 dni (do 21 dni) Brak objawów Brak
Faza prodromalna 2-5 dni Gorączka, katar, ból gardła, bóle głowy, zmęczenie Wysoka
Faza wysypki na twarzy 5-10 dni Jaskrawoczerwona wysypka na policzkach Brak
Faza wysypki na ciele 1-3 tygodnie Koronkowa wysypka na tułowiu i kończynach Brak
Faza nawracania wysypki Do kilku miesięcy Okresowe nawroty wysypki pod wpływem ciepła, wysiłku Brak

Zespół spoliczkowanego dziecka zazwyczaj jest łagodną chorobą, która ustępuje samoistnie w ciągu kilku tygodni. Charakterystyczna wysypka na policzkach, przypominająca ślad po spoliczkowanej twarzy, stanowi najbardziej rozpoznawalny objaw, szczególnie u dzieci. Bóle stawów są częstsze u dorosłych i mogą utrzymywać się dłużej niż inne objawy. Istotne jest, że osoba chora jest najbardziej zakaźna przed pojawieniem się wysypki, a w momencie jej wystąpienia zazwyczaj nie zaraża już innych osób 123.

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  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Fifth disease (slapped cheek disease) | healthdirect
    https://www.healthdirect.gov.au/fifth-disease
    Fifth disease is a common childhood viral illness. Most children with fifth disease have a 'slapped cheek’ appearance, plus a lacy rash on the chest and limbs. Symptoms can vary between children, and there can be very few symptoms. Most children do not need any treatment and can be looked after at home. […] In children, the symptoms of fifth disease are often mild and you may not notice them. The first symptoms in a child may include a fever, headache, upset stomach, aches and pains. After a few days, they may have a bright red rash on their cheeks. This looks like the mark left by a slap. Your child may also have a pink, lacy rash on their trunk and limbs. This may sometimes be itchy. The rash usually clears up in 7 to 10 days. However, it may come and go for a few weeks, especially if exposed to sun or after exercise. A few children may get pain in the joints of their hands and feet. Adults with fifth disease may not have any symptoms at all. Or they may have the rash, joint pain and swelling or both. Joint pain and swelling is more common in adults. The joint pain can take 1-2 weeks to go away, but can last longer.
  • #1 Fifth Disease (Erythema Infectiosum): Symptoms and Treatment | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/fifth-disease
    Fifth disease has 3 stages: […] The first stage (incubation period) lasts 7 to 14 days. This is when the child can spread the disease to others without knowing. […] Mild fever […] Mild headache […] Cold-like symptoms (stuffy or runny nose, sore throat) […] Fatigue […] Mild muscle or joint pain and swelling, especially in older children and women […] Second stage starts 2 to 3 weeks after exposure. This is when the child is no longer contagious. […] Bright red, slapped cheek rash on face […] Rash fades after 5 to 10 days […] Third stage may last 1 to 3 weeks. […] Rash spreads to chest, arms and thighs […] Looks blotchy and like lace […] May be itchy but is painless […] The rash may come back after several weeks. It can be triggered by sunlight, exercise, extremes of heat or cold or emotional stress.
  • #1 Fifth Disease in Children | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions—pediatrics/f/fifth-disease-in-children.html
    Fifth disease is a viral illness that causes a rash (exanthem). […] Symptoms usually show up 4 to 14 days after a child is exposed to the disease. About 4 in 5 infected children have very mild symptoms for about a week before getting the rash. About 1 in 5 will have no symptoms at all before the rash appears. Children are most contagious before the rash occurs. […] Early symptoms are usually very mild. These may include: Low fever, Headache, Runny nose, Sore throat, Itching, Nausea or vomiting, Diarrhea. […] A rash is often the most noticeable and characteristic symptom of fifth disease. The rash: Starts on the cheeks and is bright red, Spreads to the trunk, arms, and legs, and lasts 2 to 4 days. It often has a „lacy” appearance. […] The symptoms of fifth disease can be like other health conditions. Make sure your child sees their healthcare provider for a diagnosis.
  • #1 Erythema infectiosum – Symptoms of slapped cheek syndrome | Clear Chemist
    https://www.clearchemist.co.uk/az-health/erythema-infectiosum/symptoms-of-slapped-cheek-syndrome
    The symptoms of slapped cheek syndrome usually begin in the first couple of weeks after your child is exposed to the parvovirus B19 virus. […] The initial symptoms are flu-like, and usually last a few days. They include: a high temperature (fever) of 38C (100.4F), although your child’s temperature will not usually rise above 38.5C (101F), sore throat, headache, upset stomach, feeling tired, itchy skin, joint pain. […] In around 20-30% of cases these symptoms do not occur, or are so mild as to be barely noticeable. […] After this stage, there is usually a period of around seven to 10 days without any further symptoms. This tends to be followed by a rash which occurs in three distinct stages. […] Around 75% of children will develop a bright red rash on both cheeks (the so-called „slapped cheeks”).
  • #1 Parvovirus infection – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/parvovirus-infection/symptoms-causes/syc-20376085
    A bright red rash on the cheeks is a distinctive sign of parvovirus infection. […] Several days after the appearance of early symptoms, a distinctive bright red rash may appear on your child’s face usually on both cheeks. Eventually it may spread to the arms, trunk, thighs and buttocks, where the rash has a pink, lacy, slightly raised appearance. The rash may be itchy, especially on the soles of the feet. […] Generally, the rash occurs near the end of the illness. It’s possible to mistake the rash for other viral rashes or a medicine-related rash. The rash may come and go for up to three weeks, becoming more visible when your child is exposed to extreme temperatures or spends time in the sun. […] Adults don’t usually develop the slapped-cheek rash. Instead, the most noticeable symptom of parvovirus infection in adults is joint soreness, lasting days to weeks. Joints most commonly affected are the hands, wrists, knees and ankles.
  • #1 Fifth Disease (Erythema Infectiosum): Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/15774-fifth-disease
    Fifth disease is a childhood condition that appears as a bright red rash on your childs cheeks. Its nicknamed slapped cheek disease because of this rash. A parvovirus B19 infection often starts with flu-like symptoms, which are usually mild. During this time, the virus is most contagious. These symptoms include: Fatigue, Headaches, Achiness, Low-grade fever (99 to 101 F or 37 to 38.5 C), Runny nose, Sore throat. […] It can take several days after the onset of flu-like symptoms for the raised, bright red rash (fifth disease) to show up on your childs face. The rash may be itchy. Children typically no longer have flu-like symptoms once the rash appears. […] About 10% of children with fifth disease also experience joint pain and swelling. […] Adults who are infected with parvovirus B19 often develop flu-like symptoms without the rash. Along with those symptoms, about 80% of adults also develop joint pain in their wrists, hands and knees. […] The fifth disease rash should fade within five to 10 days after it develops. If your child develops a second rash, it should go away in seven to 10 days. But in some cases, the rash can come and go for several weeks.
  • #1 Fifth Disease (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/fifth.html
    Fifth disease is known for a rash that makes a childs cheeks bright red. Thats why its sometimes called a „slapped cheek” rash. A few days later, the rash spreads down to the trunk, arms, and legs. It usually lasts 1 to 3 weeks. […] The rash usually starts on the face and makes the cheeks bright red. Then, red (usually lighter) blotches appear on the chest, back, arms, and legs. The rash can be itchy. After a few days, it takes on a lacy net-like look. […] In older kids and adults, fifth disease might not cause the red cheek rash, but can cause joint swelling and pain that can last from weeks to months and, very rarely, years. But in time, it usually goes away without any lasting problems.
  • #1 Slapped cheek syndrome
    https://www.nhs.uk/conditions/slapped-cheek-syndrome/
    Slapped cheek syndrome (also called fifth disease) is common in children and should get better on its own within 3 weeks. […] The first sign of slapped cheek syndrome is usually feeling unwell for a few days. Symptoms may include: a high temperature, a runny nose and sore throat, a headache. A child’s face with a red rash on both cheeks. A red rash may appear on 1 or both cheeks. Adults do not usually get the rash on their face. […] A few days later, a spotty rash may appear on the chest, back, arms and legs. The rash can be raised. It may be harder to see on brown and black skin. […] The rash usually fades within 1 to 3 weeks, but it can sometimes last for longer, especially if you’re hot or stressed. Adults might also have joint pain and stiffness. This can happen in children too, but it’s rare. Joint pain can continue for many weeks, even after the other symptoms have gone.
  • #1 Fifth Disease (Parvovirus B19): Signs and Symptoms
    https://www.health.com/fifth-disease-symptoms-8704824
    Fifth disease, or erythema infectiosum, is a contagious viral infection best known for causing a blotchy red rash on the cheeks. As a result, it’s sometimes referred to as „slapped cheek disease.” […] Other symptoms are cold- or flu-like, including fever, headache, cough, and sore throat. Fifth disease spreads from person to person through respiratory droplets containing parvovirus B19, a common, contagious virus. […] Symptoms start gradually and progress over time. As the infection progresses, the characteristic face rash appears after a few days before spreading to the torso and limbs. […] Symptoms of fifth disease can differ in children and adults. Children are more likely to develop a rash, and adults are more likely to experience joint pain. […] One of the most recognizable signs of fifth disease is a bright red rash that first develops on the cheeks, giving them a slapped cheek appearance. This rash usually develops a few days after the onset of cold- and flu-like symptoms and is more common in children than adults.
  • #1 Fifth Disease in Children | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions—pediatrics/f/fifth-disease-in-children.html
    Fifth disease is usually a mild illness. In some cases, it may cause acute severe anemia in a child with sickle cell disease or a weak immune system. […] Fifth disease is a viral illness that causes a bright red rash on the cheeks. The rash can then spread to the body, arms, and legs. The rash lasts 2 to 4 days. Other symptoms can include runny nose, sore throat, nausea and vomiting, diarrhea, headache, and low fever.
  • #1 Fifth Disease | Children’s Hospital of Philadelphia
    https://www.chop.edu/conditions-diseases/fifth-disease
    Fifth disease is a viral illness that causes rash. Fifth disease is also known as „slapped cheek” disease because the rash can cause a child’s cheeks to become quite red as if they were slapped. […] A rash is usually the primary symptom of fifth disease. The rash: Starts on the cheeks and is bright red. It often looks like „slapped” cheeks. Over the next two to four days, the rash spreads to the trunk, arms and legs, and can last several weeks. It often has a „lacey” appearance. […] Sometimes after the rash appears, parents recall that their child might have had some mild symptoms such as low grade fever, headache, runny nose, sore throat, itching, nausea or diarrhea in the week leading up to the rash.
  • #1
  • #1 Slapped cheek syndrome
    https://www2.hse.ie/conditions/slapped-cheek-syndrome/
    Slapped cheek syndrome is common in children and should clear up on its own within 3 weeks. It’s rarer in adults but can be more serious. […] The first sign of slapped cheek syndrome is usually feeling unwell for a few days. Symptoms may include: a high temperature of 38 degrees Celsius or more, runny nose, sore throat, headache. […] After 1 to 3 days, a bright red rash appears on both cheeks. Adults do not always get the rash. After 1 to 3 days with a cheek rash, a light-pink rash may appear on the body. The skin is raised and can be itchy. The cheek rash usually fades within 2 weeks. The body rash also fades within 2 weeks but sometimes comes and goes for up to a month. Adults might also have joint pain and stiffness. This can continue for many weeks, even after the other symptoms have gone.
  • #1 Fifth disease – Wikipedia
    https://en.wikipedia.org/wiki/Fifth_disease
    In children, the risk of Parvovirus B19-related arthralgia (joint-stiffness) is less than 10%, but 19% of those with new-onset arthritis may have developed the B19 infection within the previous 10 weeks. Teenagers and adults may present with joint pain or swelling, out of which 60% infected females and 30% of infected males reported these symptoms. Out of these, 20% of the females may experience continuous joint stiffness for several months or years. Symptoms can persist up to 3 weeks since onset. Sometimes, fifth disease can also cause serious complications, especially if the person is pregnant, has anemia, or is immunocompromised; affecting the blood system, joints or nerves. Adults with fifth disease may have difficulty in walking and in bending joints such as wrists, knees, ankles, fingers, and shoulders.
  • #1 What Is Fifth Disease (Parvovirus B19)? | Pampers
    https://www.pampers.com/en-us/baby/health/article/fifth-disease
    Fifth disease causes cold-like symptoms that precede the rash, such as sore throat, headache, stuffy or runny nose, pinkeye, fatigue, mild fever, diarrhea, upset stomach, itching, swollen glands, and painful or swollen joints (hands, wrists, knees, or ankles), although this is more common in older children and adults. […] The main symptom of fifth disease is a red rash that typically starts on your child’s cheeks, which is why it’s sometimes called slapped cheek disease. Within a few days, the rash, which can be itchy, may spread to your child’s arms, trunk, thighs, bottom, and feet. Adults usually don’t get the rash. The rash is slightly raised, starts out blotchy, and then appears with a lace- or net-like pattern. After 5 to 10 days, the rash usually fades. However, it can sometimes reappear weeks or months later, often showing up when a child is spending time in the sun or is exposed to extreme temperatures.
  • #1 Slapped cheek (fifth disease)
    https://www.rch.org.au/kidsinfo/fact_sheets/Slapped_cheek_or_fifth_disease/
    Slapped cheek is a viral infection caused by the human parvovirus B19. It is also called fifth disease or erythema infectiosum. […] Most children who get slapped cheek do not have any symptoms, and if they do the symptoms are usually very mild. A common symptom is cheeks that look like they have been slapped, which is where the virus gets its name. […] It may take between four and 14 days after your child is exposed to slapped cheek for any symptoms to show. The symptoms can vary, and are usually so mild that many parents won’t realise that their child has had the virus. […] The first symptoms can include fever, headache, stomach upsets, aches and pains. […] After a few days of being unwell, a bright red rash may appear on the cheeks. […] Your child may also have a different rash on their chest, back, arms and legs, which looks like a pink lace pattern on the skin. […] The rashes can come and go for several weeks, or even months, especially if the skin is exposed to sunlight or after exercise. […] Symptoms can vary between children, and the infection can show very few symptoms. […] Slapped cheek is caused by a virus and antibiotics will not work to treat it.
  • #1 Slapped cheek
    https://info.health.nz/conditions-treatments/skin/slapped-cheek
    Slapped cheek is a viral infection caused by the parvovirus. It causes bright red cheeks and is most common in tamariki (children). Some adults can get slapped cheek. […] You usually get symptoms 4 to 20 days after being infected. Symptoms include: fever, runny nose, sore throat, headache, generally feeling unwell. […] In adults, symptoms can also include swollen, painful joints. These symptoms last for 2 to 3 days. […] After a couple of days, a bright red rash appears on both cheeks. You can then get a pink, lacy-looking rash on your body, arms and legs. The rash usually lasts for 2 weeks but can come and go for 6 weeks. […] When the rash has appeared, you are no longer infectious, but you can pass slapped cheek on for 5 to 6 days before the rash appears.
  • #1 Fifth disease in kids – Children’s Health
    https://www.childrens.com/health-wellness/fifth-disease-in-kids
    A common sign of fifth disease is a bright red rash on the cheeks, which can look like a „slapped cheek.” Before the rash appears, your child might experience mild flu-like symptoms, such as fever, headache, cough, sore throat, runny or stuffed nose, fatigue, and joint pain. […] A few days after the initial symptoms, the red rash may spread to the arms, legs and torso. Some children might also have joint pain or swelling, particularly in the hands, wrists, knees and ankles. […] In most cases, children recover fully from fifth disease within one to three weeks, although, in some children, the rash can come and go for up to six weeks. If your child has a weakened immune system or another underlying health condition, they may need additional medical care. […] Once the rash appears, children are usually no longer contagious and can return to school if they feel well enough. The rash may linger for several weeks, but that doesn’t mean your child is still contagious.
  • #1 Fifth disease in kids – Children’s Health
    https://www.childrens.com/health-wellness/fifth-disease-in-kids
    Most cases of fifth disease are mild and resolve on their own without medical treatment. However, you should contact your pediatrician if your child has a weakened immune system due to a medical condition or treatment, has certain blood disorders such as sickle cell disease, develops a high fever or symptoms that worsen instead of improving, experiences severe joint pain or swelling, or shows signs of severe anemia, such as fatigue or pale skin. […] While fifth disease is generally a mild illness for most children, it’s important to be aware of the symptoms and the potential risks for high-risk individuals.
  • #1 Slapped cheek disease | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/slapped-cheek-disease
    The risk to unborn babies is low. Even if the mother is affected, only one-third of babies will develop the infection (generally about a month after the mother’s illness). […] In rare cases, infection during the first 20 weeks of pregnancy can cause a form of anaemia (low blood count) in the baby. […] People with compromised immune systems (for example, people being treated for cancer or severe asthma, or those with HIV/AIDS) can develop chronic and severe anaemia with slapped cheek disease. […] Those with disorders such as sickle cell anaemia, thalassaemia and hereditary spherocytosis can experience a sudden drop in haemoglobin, the protein that transports oxygen around the blood, with slapped cheek disease.
  • #1 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Diagnosis-and-Treatment-of-Slapped-Cheek-Syndrome.aspx
    Slapped cheek syndrome or fifth disease is a viral infection most commonly affecting children aged between 3 and 15 years. Diagnosis is usually based on symptoms and clinical features which most commonly involves the appearance of a distinct blotchy red rash across the cheeks accompanied by a sore throat, fever, headaches and upset stomach. […] In adult cases of infection, the symptom is typically joint pain and stiffness and the absence of the distinctive red cheeks means diagnosis may be missed at first in adults. […] The infection itself is mild and self remitting and usually resolves within a week without complications while providing the child with a lifelong immunity against the virus. […] However, the illness may be managed in the following ways: Children may be given plenty of fluids and bed rest and be isolated from other children, especially during the first week after contracting the infection. Ibuprofen or paracetamol may relieve joint pain, fever and headaches. Children under the age of 16 should not be given aspirin due to the associated risk of Reye’s syndrome – a condition which can cause significant brain and liver damage. Antihistamines such as levocetirizine, azelastine, loratidine can be used to relieve itchy rashes. Calamine lotion may also relieve itchiness.
  • #1 Slapped cheek syndrome: Symptoms & how to treat it
    https://www.motherandbaby.com/baby/health/slapped-cheek-symptoms-treatment/
    The initial symptoms include: Flu-like symptoms, Fever, Sore throat, Headache, Upset tummy, Joint pain, says Dr. Lee. […] The rash occurs in 3 distinct stages, Dr Temple explains. In the first stage, children develop a bright red rash on both cheeks that usually fades over two to four days. One to four days after the facial rash appears, a light pink, raised rash thats a bit itchy, spreads out on the chest, arms, stomach and thighs. In some cases, theres a third stage when the rash fades but reappears over a period of weeks. […] Paracetamol or ibuprofen will help with fever and pain while antihistamines reduce the itchiness. A gentle moisturiser might also soothe irritation, says Dr Temple. […] If you’re worried about any rash on your toddler or child, you should seek medical attention or advice as soon as possible.
  • #1
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3514
    Fifth disease can cause symptoms similar to influenza (flu). Your child may have a runny nose, sore throat, headache, belly pain, and achy joints. […] A few days later, a bright red rash may appear on their cheeks and then may appear on the rest of the body. The rash may last for 7 to 10 days. The rash may come and go for several weeks. […] Call your doctor or nurse advice line now or seek immediate medical care if: Your child feels weak and tired and has pale skin. Your child has a fever, fast breathing, and a racing heart, and has no energy.
  • #1
    https://www.healthychildren.org/English/health-issues/conditions/skin/Pages/Fifth-Disease-Parvovirus-B19.aspx
    Most times, fifth disease does not cause problems in pregnancy. Rarely, serious problems can occur if the virus gets passed on in the early stages of pregnancy and makes it hard for the fetus to make red blood cells. […] If you think your child may have fifth disease, it’s okay to call your pediatrician’s office with questions.
  • #2 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Symptoms-of-Slapped-Cheek-Syndrome.aspx
    Slapped cheek syndrome is a viral infection affecting children aged between 3 and 15 years. Infection with parvovirus B19 causes the condition. After inhaling the virus, a child usually takes around a week or two to manifest symptoms. […] Symptoms of slapped cheek syndrome may occur as follows: […] The first stage of infection causes mild flu-like features, with a fever that peaks at around 38.5C, runny nose, headache, sore throat, itchy skin, diarrhea and fatigue. […] The second stage of the infection occurs around a week after the first stage begins. This phase is typically characterized by the distinct bright red rash across the cheeks, so typical of the condition. […] The third stage begins around three to four days after the cheek rash manifests. During this stage, the rash commonly spreads to the child’s neck, chest, back, abdomen, legs and arms. The rash appears red and lacy and is more prominent on exposure to heat or after exercise. The rash usually passes away within a week after it appears but can take a few weeks to disappear in some individuals. At this stage, the child is no longer contagious and may attend school.
  • #2 When Your Child Has Fifth Disease | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/when-your-child-has-fifth-disease
    Fifth disease has three possible stages, but many children will have only one or two of them that are noticeable. The stages are: […] The earliest stage of fifth disease (the prodromal stage) consists of a low fever, headache, sore throat, muscle aches, chills, or respiratory symptoms. This often looks like a mild cold. Your child may feel tired, cranky, or rundown. This stage may come and go before you notice it. […] This is when the facial rash appears. It is a few days to a week or more after the prodromal symptoms. The rash appears bright rosy red on the cheeks. Your child may also look pale around the mouth because the cheeks are so red. This first rash fades in a few days. […] A rash appears on your child’s arms, legs, and torso. This second rash is flat, purple-red, and looks lacy. It is painless, but may be slightly itchy. The second rash may take 1 to 3 weeks to go away entirely. It may get better or worse during this time.
  • #2 Slapped cheek (fifth disease)
    https://www.rch.org.au/kidsinfo/fact_sheets/Slapped_cheek_or_fifth_disease/
    Slapped cheek is a viral infection caused by the human parvovirus B19. It is also called fifth disease or erythema infectiosum. […] Most children who get slapped cheek do not have any symptoms, and if they do the symptoms are usually very mild. A common symptom is cheeks that look like they have been slapped, which is where the virus gets its name. […] It may take between four and 14 days after your child is exposed to slapped cheek for any symptoms to show. The symptoms can vary, and are usually so mild that many parents won’t realise that their child has had the virus. […] The first symptoms can include fever, headache, stomach upsets, aches and pains. […] After a few days of being unwell, a bright red rash may appear on the cheeks. […] Your child may also have a different rash on their chest, back, arms and legs, which looks like a pink lace pattern on the skin. […] The rashes can come and go for several weeks, or even months, especially if the skin is exposed to sunlight or after exercise. […] Symptoms can vary between children, and the infection can show very few symptoms. […] Slapped cheek is caused by a virus and antibiotics will not work to treat it.
  • #2 Fifth Disease (Erythema Infectiosum): Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/15774-fifth-disease
    Fifth disease is a childhood condition that appears as a bright red rash on your childs cheeks. Its nicknamed slapped cheek disease because of this rash. A parvovirus B19 infection often starts with flu-like symptoms, which are usually mild. During this time, the virus is most contagious. These symptoms include: Fatigue, Headaches, Achiness, Low-grade fever (99 to 101 F or 37 to 38.5 C), Runny nose, Sore throat. […] It can take several days after the onset of flu-like symptoms for the raised, bright red rash (fifth disease) to show up on your childs face. The rash may be itchy. Children typically no longer have flu-like symptoms once the rash appears. […] About 10% of children with fifth disease also experience joint pain and swelling. […] Adults who are infected with parvovirus B19 often develop flu-like symptoms without the rash. Along with those symptoms, about 80% of adults also develop joint pain in their wrists, hands and knees. […] The fifth disease rash should fade within five to 10 days after it develops. If your child develops a second rash, it should go away in seven to 10 days. But in some cases, the rash can come and go for several weeks.
  • #2 Slapped cheek disease | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/slapped-cheek-disease
    Slapped cheek disease is characterised by bright red cheeks, a cold-like illness and, sometimes, an itchy rash on the torso and limbs. […] The first symptoms seem like a cold and can include: fever, tiredness, aching muscles, headache, sore throat, runny nose, coughing and sneezing. […] As these cold-like symptoms start to improve, the rash on the face appears. This rash is bright red, 'lacy’ (with patches of normal coloured skin within the red areas) and often itchy. The person may also develop a pink blotchy rash on the limbs or torso after a few days. […] Arthritis-like symptoms, such as swollen ankle, knee and wrist joints, are common for teenagers and adults with slapped cheek disease. […] Normally, it takes around two to four weeks for the joints to get better. However, in some people, the swelling can last for months.
  • #2 Fifth Disease (Erythema Infectiosum): Symptoms, Causes and Treatment
    https://www.webmd.com/children/understanding-fifth-disease-basics
    Fifth disease, also known as erythema infectiosum, is a contagious viral illness caused by parvovirus B19. The main symptom of fifth disease is a rash that often appears on the cheeks. […] The first stage of fifth disease symptoms can last from seven to 14 days. They include mild fever, stuffy or runny nose, sore throat (cold-like symptoms), mild headache, fatigue, and mild muscle pain or joint pain and swelling, especially in older children. […] About two to three weeks after you’ve been exposed to the virus, you’re no longer contagious, so you can’t spread the virus. If it’s your child who is sick, this is when you might see a bright red rash on their cheeks, which is why some people call the infection slapped cheek disease. The red cheeks are more common in children 10 years old or younger, and it generally lasts for five to 10 days. […] At this point, if there’s a rash, it will likely spread along the chest, back, arms, and legs, and the red cheeks will fade. The body rash won’t look as red (or dark on dark skin) as it did on the face, though. It might look more blotchy or like lace, and the rash may be itchy but it won’t hurt.
  • #2 Fifth Disease in Children | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions—pediatrics/f/fifth-disease-in-children.html
    Fifth disease is a viral illness that causes a rash (exanthem). […] Symptoms usually show up 4 to 14 days after a child is exposed to the disease. About 4 in 5 infected children have very mild symptoms for about a week before getting the rash. About 1 in 5 will have no symptoms at all before the rash appears. Children are most contagious before the rash occurs. […] Early symptoms are usually very mild. These may include: Low fever, Headache, Runny nose, Sore throat, Itching, Nausea or vomiting, Diarrhea. […] A rash is often the most noticeable and characteristic symptom of fifth disease. The rash: Starts on the cheeks and is bright red, Spreads to the trunk, arms, and legs, and lasts 2 to 4 days. It often has a „lacy” appearance. […] The symptoms of fifth disease can be like other health conditions. Make sure your child sees their healthcare provider for a diagnosis.
  • #2 Fifth Disease | Texas Children’s
    https://www.texaschildrens.org/content/conditions/fifth-disease
    Fifth disease is a viral illness that commonly causes a rash. Fifth disease is also known as erythema infectiosum and as „slapped cheek” disease because the rash can cause a child’s cheeks to become quite red. […] Symptoms usually show up 4 to 14 days after being exposed to the disease. Children may have very mild symptoms for about a week before getting the rash or may have no symptoms at all before the rash appears. […] The following are the most common symptoms of fifth disease; however, symptoms can be different for each child. Early symptoms are sometimes very mild and nearly unnoticed. These symptoms may include: Low grade fever, Malaise, Headache, Runny nose, Sore throat, Nausea or vomiting, Diarrhea, Arthritis. […] A rash is usually the primary symptom of fifth disease. The rash: Starts on the cheeks and is bright red. It often looks like „slapped” cheeks. Spreads to the trunk, arms, and legs, usually with a „lacey” appearance and lasts two to four days.
  • #2 Slapped Cheek?!
    https://www.drianhayltd.com/post/slapped-cheek
    The whole process can last one month, but your child will only infect others in the period when they have the symptoms, not during the period of the rash. […] Occasionally the rash itches, or the joints ache. If this is the case, treatments such as oatmeal baths, paracetamol or ibuprofen can be helpful. […] It is right that slap cheek is quite contagious, with cases following each other by four to fourteen days, but while the rash is present, the child is not contagious at all!
  • #2 Slapped Cheek?!
    https://www.drianhayltd.com/post/slapped-cheek
    Between 4 and 14 days after a child is exposed to the virus, they will usually have symptoms which might include fever, headache, muscle aches, sore throat, runny nose, tiredness, tummy ache, etc. […] These mild symptoms usually last for 2 or 3 days and it is only during this period that the child is contagious. […] The rash phase of the illness, usually occurs in 3 stages. The first stage is characterised by a bright red rash on the cheeks, which gives rise to the name slap cheek. […] The second stage of the rash occurs 1 to 4 days later, with the appearance of a less intense rash on the trunk and limbs. […] The third stage of the rash usually lasts for longer than a week and can go on for a month or more. […] A child can appear to be completely recovered, only to have the rash reappear when she takes a bath.
  • #2 Fifth Disease (Erythema Infectiosum): Symptoms and Treatment | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/fifth-disease
    Fifth disease has 3 stages: […] The first stage (incubation period) lasts 7 to 14 days. This is when the child can spread the disease to others without knowing. […] Mild fever […] Mild headache […] Cold-like symptoms (stuffy or runny nose, sore throat) […] Fatigue […] Mild muscle or joint pain and swelling, especially in older children and women […] Second stage starts 2 to 3 weeks after exposure. This is when the child is no longer contagious. […] Bright red, slapped cheek rash on face […] Rash fades after 5 to 10 days […] Third stage may last 1 to 3 weeks. […] Rash spreads to chest, arms and thighs […] Looks blotchy and like lace […] May be itchy but is painless […] The rash may come back after several weeks. It can be triggered by sunlight, exercise, extremes of heat or cold or emotional stress.
  • #2 Erythema Infectiosum – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK513309/
    Days after the facial rash develops, a maculopapular rash usually appears on the trunk and limbs. This rash is nonpruritic and typically lasts about 1 week. As it resolves, the rash may take on a lacy or reticular appearance, often more prominent on the extensor surfaces. The palms of the hands and soles of the feet are typically unaffected. […] The infection may also present with arthralgias. Joint symptoms, which are thought to be immune-mediated, occur more commonly in adults than in children, with women being more affected than men. Affected joints are usually symmetric and include the hands, feet, wrists, knees, and elbows. Patients often complain of joint stiffness. No signs of physical joint destruction are observed. Joint involvement typically occurs later in the disease course and resolves after about 3 weeks of symptom onset.
  • #2 Parvovirus infection – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/parvovirus-infection/symptoms-causes/syc-20376085
    A bright red rash on the cheeks is a distinctive sign of parvovirus infection. […] Several days after the appearance of early symptoms, a distinctive bright red rash may appear on your child’s face usually on both cheeks. Eventually it may spread to the arms, trunk, thighs and buttocks, where the rash has a pink, lacy, slightly raised appearance. The rash may be itchy, especially on the soles of the feet. […] Generally, the rash occurs near the end of the illness. It’s possible to mistake the rash for other viral rashes or a medicine-related rash. The rash may come and go for up to three weeks, becoming more visible when your child is exposed to extreme temperatures or spends time in the sun. […] Adults don’t usually develop the slapped-cheek rash. Instead, the most noticeable symptom of parvovirus infection in adults is joint soreness, lasting days to weeks. Joints most commonly affected are the hands, wrists, knees and ankles.
  • #2 Fifth Disease (Parvovirus B19): Signs and Symptoms
    https://www.health.com/fifth-disease-symptoms-8704824
    The rash can be itchy and spread to the arms, legs, back, and chest. It appears in lacy patterns with slightly raised, red, blotchy areas on the skin. […] In many adults, joint pain is the only symptom of fifth disease. The pain usually develops about one to three weeks following the initial infection and affects joints in the hands, wrists, knees, and ankles. This moderate to severe joint pain usually resolves within a week or two, but some people experience persistent joint pain that lasts months or years. […] Most people develop flu-like symptoms, including headache, sore throat, cough, and fever. Children usually develop a bright red rash on their cheeks a few days after these symptoms begin, while adults are more likely to develop joint pain and swelling. […] While fifth disease is usually mild and resolves within 1-2 weeks without treatment, it can sometimes cause more severe illness in pregnant people and those with certain medical conditions.
  • #2 Fifth disease – Wikipedia
    https://en.wikipedia.org/wiki/Fifth_disease
    In children, the risk of Parvovirus B19-related arthralgia (joint-stiffness) is less than 10%, but 19% of those with new-onset arthritis may have developed the B19 infection within the previous 10 weeks. Teenagers and adults may present with joint pain or swelling, out of which 60% infected females and 30% of infected males reported these symptoms. Out of these, 20% of the females may experience continuous joint stiffness for several months or years. Symptoms can persist up to 3 weeks since onset. Sometimes, fifth disease can also cause serious complications, especially if the person is pregnant, has anemia, or is immunocompromised; affecting the blood system, joints or nerves. Adults with fifth disease may have difficulty in walking and in bending joints such as wrists, knees, ankles, fingers, and shoulders.
  • #2 Slapped cheek syndrome
    https://www.nhs.uk/conditions/slapped-cheek-syndrome/
    Slapped cheek syndrome (also called fifth disease) is common in children and should get better on its own within 3 weeks. […] The first sign of slapped cheek syndrome is usually feeling unwell for a few days. Symptoms may include: a high temperature, a runny nose and sore throat, a headache. A child’s face with a red rash on both cheeks. A red rash may appear on 1 or both cheeks. Adults do not usually get the rash on their face. […] A few days later, a spotty rash may appear on the chest, back, arms and legs. The rash can be raised. It may be harder to see on brown and black skin. […] The rash usually fades within 1 to 3 weeks, but it can sometimes last for longer, especially if you’re hot or stressed. Adults might also have joint pain and stiffness. This can happen in children too, but it’s rare. Joint pain can continue for many weeks, even after the other symptoms have gone.
  • #2 Erythema Infectiosum Clinical Presentation: History and Physical Examination
    https://emedicine.medscape.com/article/1132078-clinical
    Erythema infectiosum (also known as fifth disease) typically has an incubation period of 4-14 days and is spread primarily via aerosolized respiratory droplets. Transmission also occurs through blood products and from mother to fetus. […] Mild prodromal symptoms begin approximately 1 week after exposure and last 2-3 days. They include the following: Headache (20% of pediatric patients), Fever (20%), Sore throat (15%), Pruritus (15%), Coryza (10%), Abdominal pain (10%), Arthralgias (10%). […] The symptoms above occur more frequently in adults than in children, especially joint symptoms (as many as 50% of adult patients). […] These symptoms precede a symptom-free period of about 7-10 days, which is followed by a typical exanthem that occurs in three phases (although some patients may manifest no findings).
  • #2 What Is Fifth Disease (Parvovirus B19)? | Pampers
    https://www.pampers.com/en-us/baby/health/article/fifth-disease
    Overall, fifth disease may last around 1 to 3 weeks, generally starting with cold-like symptoms followed by the characteristic rash. So, how long does the rash from fifth disease last? This might last between 5 and 10 days. The rash may come and go for several weeks beyond that initial period. […] Fifth disease can sometimes be divided into three stages or phases which may overlap. These stages are: Incubation Period. No symptoms are usually present during this time, and it typically lasts 4 to 14 days after exposure to the virus before symptoms appear. Initial Stage (Prodromal Phase). This is when early cold-like symptoms appear and last for a few days. This phase is often mild and may go unnoticed. Rash Stage. The characteristic slapped cheek rash appears and can last for several days to a few weeks. The rash will often spread over the rest of the body and appears lace- or net-like in appearance.
  • #2 Slapped cheek syndrome
    https://www2.hse.ie/conditions/slapped-cheek-syndrome/
    Slapped cheek syndrome is common in children and should clear up on its own within 3 weeks. It’s rarer in adults but can be more serious. […] The first sign of slapped cheek syndrome is usually feeling unwell for a few days. Symptoms may include: a high temperature of 38 degrees Celsius or more, runny nose, sore throat, headache. […] After 1 to 3 days, a bright red rash appears on both cheeks. Adults do not always get the rash. After 1 to 3 days with a cheek rash, a light-pink rash may appear on the body. The skin is raised and can be itchy. The cheek rash usually fades within 2 weeks. The body rash also fades within 2 weeks but sometimes comes and goes for up to a month. Adults might also have joint pain and stiffness. This can continue for many weeks, even after the other symptoms have gone.
  • #2 Slapped Cheek Disease
    https://www.careplus.ie/symptoms/254-slapped-cheek-disease
    Headache, sore throat, runny nose or mild temperature (fever) last for a few days and occur around 7-10 days before the rash appears. Occasionally, mild pain and stiffness develop in one or more joints for a few days. This is more common in adults than in children. […] Around one in four people who become infected with this virus do not develop any symptoms at all. Some people just have a fever and feel generally unwell, without any rashes. […] After 1 to 3 days, a bright red rash appears on both cheeks. Adults do not always get the rash. […] After 1 to 3 days with a cheek rash, a light-pink body rash may appear. The skin is raised and can be itchy. […] The cheek rash normally fades within 2 weeks. […] The body rash also fades within 2 weeks, but sometimes comes and goes for up to a month, especially if you’re exercising, hot, anxious or stressed. […] Joint pain and stiffness in adults can continue for many weeks, even after the other symptoms have gone.
  • #2 Fifth disease: slapped cheek syndrome | NT.GOV.AU
    https://nt.gov.au/wellbeing/health-conditions-treatments/viral/fifth-disease
    The characteristic symptom is a bright red rash on the face, which has a slapped-cheek appearance. A generalized lace-like rash then appears on the body. The rash can sometimes be itchy. It will usually resolve in 7-10 days, but can come and go for several weeks particularly after exposure to sunlight or exercise. […] Sometimes, before the rash, the person may have flu-like symptoms for 1-4 days, such as sore throat, malaise, headache, diarrhoea and occasionally a fever. It is during this stage of the illness that people are infectious to others. […] The symptoms generally develop 4-20 days after the person is infected. Unlike children the majority of affected adults will also experience joint aches and pains, which can last for days to months.
  • #2 Sleepy Hollow Elementary School – Fifth (
    https://sh.orindaschools.org/Our-School/Health–Wellness/Fifth-Slapped-Cheek-Disease/index.html
    Fifth disease is a very mild disease characterized by a bright red or rosy rash on both cheeks. It begins with a low-grade fever, headache, and mild cold-like symptoms (a stuffy or runny nose.) After these symptoms disappear, the illness seems to be gone until a rash appears a few days later. The bright red rash typically begins on the face. Several days later, the rash spreads, and red blotches (usually lighter in color) extend down to the trunk, arms, and legs. As the centers of the blotches begin to clear, the rash takes on a lacy appearance. It may reappear for one to three weeks, especially after warm baths, exercise, and sun exposure. The rash does not itch. […] A person with parvovirus infection is most contagious before the rash appears either during the incubation period (the time between infection and the beginning of symptoms) or during the time when he or she has only mild respiratory symptoms. A child is usually not contagious once the rash appears. […] Practicing good hygiene, especially frequent hand washing, is always a good idea since it can help prevent the spread of many infections.
  • #2 Erythema Infectiosum Clinical Presentation: History and Physical Examination
    https://emedicine.medscape.com/article/1132078-clinical
    The exanthem begins with the classic slapped-cheek appearance. The bright-red raised erythema appears abruptly over the cheeks and is marked by nasal, perioral, and periorbital sparing. […] This phase occurs 1-4 days later and is characterized by an erythematous maculopapular rash on proximal extremities (usually arms and extensor surfaces) and trunk that fades into a classic lacelike reticular pattern as confluent areas clear. […] Frequent clearing and recurrences for weeks or occasionally months may occur as a result of stimuli such as exercise, irritation, stress, or overheating of the skin from sunlight or bathing in hot water. […] Other features of the rash are as follows: The rash is often pruritic, especially in adults; Enanthems are virtually never observed; The rash is observed in approximately 75% of infected pediatric patients but in fewer than 50% of infected adults; The patient is no longer infectious when the rash appears.
  • #2 Slapped cheek syndrome,… – Derbyshire Family Health ServiceFacebookShared with Public
    https://www.facebook.com/DerbysFamilyHealth/posts/slapped-cheek-syndrome-which-is-sometimes-known-as-fifth-disease-is-doing-the-ro/960034202796826/
    Slapped cheek syndrome, which is sometimes known as fifth disease, is doing the rounds. It’s most common in young children but anyone can get it. A red rash may appear on 1 or both cheeks. The rash may be less obvious on brown and black skin. […] The first sign of slapped cheek syndrome is usually feeling unwell for a few days. […] Symptoms could include: high temperature, runny nose and sore throat, headache. […] Your child does not have to stay off school after the rash appears. Let the school or teacher know if your child has slapped cheek syndrome.
  • #2 Slapped Cheek Disease (Causes, Symptoms, and Treatment)
    https://patient.info/childrens-health/slapped-cheek-disease-leaflet
    Although the rash can look quite dramatic, the illness itself is usually mild. You will usually not feel too ill. You may have a headache, sore throat, runny nose or mild temperature (fever) that last for a few days and occur around 7-10 days before the rash appears. […] A round one in four people who become infected with this germ (virus) do not develop any symptoms at all. Some people just have a fever and feel generally unwell, without any rashes. […] The only times the illness may become more serious are: In children with some types of hereditary anaemia such as sickle cell disease, beta-thalassaemia and hereditary spherocytosis. This germ (virus) can cause these types of anaemia to become suddenly much worse. […] In people with a weakened immune system. If you have leukaemia or cancer, have had an organ transplant or have HIV infection then you may develop a more serious illness with this infection.
  • #2 Fifth disease – Wikipedia
    https://en.wikipedia.org/wiki/Fifth_disease
    The disease is usually mild, but in certain risk groups and rare circumstances, it can have serious consequences: In pregnancy, infection in the first trimester is considered more detrimental for the mother but contraction of the infection in the second trimester has been linked to hydrops fetalis, a condition causing excessive build up of fluid in the fetus’ tissues and organs causing edema, and thus causing spontaneous miscarriage. Those who are immunocompromised (HIV/AIDS, chemotherapy) may be at risk for complications if exposed. In less than 5% of women with parvovirus B19 infection, a baby may develop severe anemia leading to miscarriage. This occurs most often during the first half of pregnancy.
  • #2 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Diagnosis-and-Treatment-of-Slapped-Cheek-Syndrome.aspx
    Slapped cheek syndrome or fifth disease is a viral infection most commonly affecting children aged between 3 and 15 years. Diagnosis is usually based on symptoms and clinical features which most commonly involves the appearance of a distinct blotchy red rash across the cheeks accompanied by a sore throat, fever, headaches and upset stomach. […] In adult cases of infection, the symptom is typically joint pain and stiffness and the absence of the distinctive red cheeks means diagnosis may be missed at first in adults. […] The infection itself is mild and self remitting and usually resolves within a week without complications while providing the child with a lifelong immunity against the virus. […] However, the illness may be managed in the following ways: Children may be given plenty of fluids and bed rest and be isolated from other children, especially during the first week after contracting the infection. Ibuprofen or paracetamol may relieve joint pain, fever and headaches. Children under the age of 16 should not be given aspirin due to the associated risk of Reye’s syndrome – a condition which can cause significant brain and liver damage. Antihistamines such as levocetirizine, azelastine, loratidine can be used to relieve itchy rashes. Calamine lotion may also relieve itchiness.
  • #2 Slapped cheek syndrome: Symptoms & how to treat it
    https://www.motherandbaby.com/baby/health/slapped-cheek-symptoms-treatment/
    The initial symptoms include: Flu-like symptoms, Fever, Sore throat, Headache, Upset tummy, Joint pain, says Dr. Lee. […] The rash occurs in 3 distinct stages, Dr Temple explains. In the first stage, children develop a bright red rash on both cheeks that usually fades over two to four days. One to four days after the facial rash appears, a light pink, raised rash thats a bit itchy, spreads out on the chest, arms, stomach and thighs. In some cases, theres a third stage when the rash fades but reappears over a period of weeks. […] Paracetamol or ibuprofen will help with fever and pain while antihistamines reduce the itchiness. A gentle moisturiser might also soothe irritation, says Dr Temple. […] If you’re worried about any rash on your toddler or child, you should seek medical attention or advice as soon as possible.
  • #2
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3514
    Fifth disease can cause symptoms similar to influenza (flu). Your child may have a runny nose, sore throat, headache, belly pain, and achy joints. […] A few days later, a bright red rash may appear on their cheeks and then may appear on the rest of the body. The rash may last for 7 to 10 days. The rash may come and go for several weeks. […] Call your doctor or nurse advice line now or seek immediate medical care if: Your child feels weak and tired and has pale skin. Your child has a fever, fast breathing, and a racing heart, and has no energy.
  • #2 Fifth Disease in Children: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.fifth-disease-in-children-care-instructions.uh3514
    Fifth disease can cause symptoms similar to the flu. Your child may have a runny nose, sore throat, headache, belly pain, and achy joints. A few days later, a bright red rash may appear on their cheeks and then may appear on the rest of the body. The rash may last for 7 to 10 days. The rash may come and go for several weeks. […] Call your doctor now or seek immediate medical care if: Your child feels weak and tired and has pale skin. Your child has a fever, fast breathing, and a racing heart, and has no energy. […] Watch closely for changes in your child’s health, and be sure to contact your doctor if: Your child does not get better as expected.
  • #3 Slapped Cheek?!
    https://www.drianhayltd.com/post/slapped-cheek
    Between 4 and 14 days after a child is exposed to the virus, they will usually have symptoms which might include fever, headache, muscle aches, sore throat, runny nose, tiredness, tummy ache, etc. […] These mild symptoms usually last for 2 or 3 days and it is only during this period that the child is contagious. […] The rash phase of the illness, usually occurs in 3 stages. The first stage is characterised by a bright red rash on the cheeks, which gives rise to the name slap cheek. […] The second stage of the rash occurs 1 to 4 days later, with the appearance of a less intense rash on the trunk and limbs. […] The third stage of the rash usually lasts for longer than a week and can go on for a month or more. […] A child can appear to be completely recovered, only to have the rash reappear when she takes a bath.
  • #3 Slapped cheek (fifth disease)
    https://www.rch.org.au/kidsinfo/fact_sheets/Slapped_cheek_or_fifth_disease/
    Slapped cheek is a viral infection caused by the human parvovirus B19. It is also called fifth disease or erythema infectiosum. […] Most children who get slapped cheek do not have any symptoms, and if they do the symptoms are usually very mild. A common symptom is cheeks that look like they have been slapped, which is where the virus gets its name. […] It may take between four and 14 days after your child is exposed to slapped cheek for any symptoms to show. The symptoms can vary, and are usually so mild that many parents won’t realise that their child has had the virus. […] The first symptoms can include fever, headache, stomach upsets, aches and pains. […] After a few days of being unwell, a bright red rash may appear on the cheeks. […] Your child may also have a different rash on their chest, back, arms and legs, which looks like a pink lace pattern on the skin. […] The rashes can come and go for several weeks, or even months, especially if the skin is exposed to sunlight or after exercise. […] Symptoms can vary between children, and the infection can show very few symptoms. […] Slapped cheek is caused by a virus and antibiotics will not work to treat it.
  • #3 Fifth disease | RIVM
    https://www.rivm.nl/en/fifth-disease
    Children who have fifth disease get a bright red skin rash that starts on the cheeks and face. Because of this, it is nicknamed slapped cheek disease. […] Sometimes children have fever and itching, but do not feel ill other than that. […] The rash goes away on its own after about a week. For a period of three weeks after that, the skin rash can come back again temporarily in response to heat, cold or physical effort. If that does happen, the rash goes away again quickly. […] Adults who get fifth disease often have pain and stiffness in their hands and feet. These joint problems usually last 1 to 3 weeks, but can persist for months in some women. Adults are less likely to have a skin rash.
  • #3 Fifth Disease
    https://www.arthritis.org/diseases/fifth-disease
    Four to 14 days after being infected with human parvovirus B19, a child may develop cold or flu-like symptoms, such as low-grade fever, fatigue and an overall feeling of ill health. […] After a few days, the child may develop a rash on his face that looks as though his cheeks have been slapped (a slapped-cheek rash) as well as a lacy red rash on the torso and limbs. […] About 10 percent of children with fifth disease will also have joint pain and possibly joint swelling. […] Adults who are infected will usually have more severe flu-like symptoms but may not develop the characteristic slapped-cheek rash. […] However, as many as 78 percent of adults who experience symptoms will develop joint pain and swelling one to three weeks following the initial infection. […] Joint symptoms usually resolve in a week or two, but approximately 10 percent of adults with joint symptoms will have prolonged difficulties.
  • #3 Fifth disease in kids – Children’s Health
    https://www.childrens.com/health-wellness/fifth-disease-in-kids
    A common sign of fifth disease is a bright red rash on the cheeks, which can look like a „slapped cheek.” Before the rash appears, your child might experience mild flu-like symptoms, such as fever, headache, cough, sore throat, runny or stuffed nose, fatigue, and joint pain. […] A few days after the initial symptoms, the red rash may spread to the arms, legs and torso. Some children might also have joint pain or swelling, particularly in the hands, wrists, knees and ankles. […] In most cases, children recover fully from fifth disease within one to three weeks, although, in some children, the rash can come and go for up to six weeks. If your child has a weakened immune system or another underlying health condition, they may need additional medical care. […] Once the rash appears, children are usually no longer contagious and can return to school if they feel well enough. The rash may linger for several weeks, but that doesn’t mean your child is still contagious.
  • #3 Erythema Infectiosum – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK513309/
    Symptoms of erythema infectiosum are typically mild and self-limited in immunocompetent individuals, with some patients remaining asymptomatic. In contrast, immunocompromised individuals or those with hematologic disorders may experience more severe symptoms. Chronic infection and persistent anemia can develop in immunocompromised patients. Acute infection during pregnancy can lead to fetal complications, including fetal death. The risk of fetal loss is highest when infection occurs before 20 weeks of gestation. […] Complications of erythema infectiosum primarily affect high-risk populations, including immunocompromised individuals, patients with hematologic disorders, and pregnant women. In people with hemolytic anemias such as sickle cell disease or hereditary spherocytosis, parvovirus B19 can trigger transient aplastic crisis, marked by severe anemia and reticulocytopenia that often necessitate transfusion.
  • #3 Fifth Disease: Causes, Diagnosis, and Treatment
    https://www.healthline.com/health/fifth-disease
    Rashes typically appear two to three weeks after exposure to the virus. By the time a rash appears, youre no longer contagious. […] Fifth disease has no long-term consequences for most people. However, if your immune system is weakened due to HIV, chemotherapy, or other conditions, youll likely need to be under a doctors care as your body works to fight off the disease. […] If you have anemia before getting fifth disease, youll likely need medical attention. […] This is because fifth disease can stop your body from producing RBCs, which can reduce the amount of oxygen that your tissue gets. […] It can be dangerous if you develop the condition during pregnancy. Fifth disease can harm your developing fetus if they develop a severe form of anemia called hemolytic anemia. […] According to the March of Dimes, other pregnancy-related complications may include: heart failure, miscarriage, stillbirth.
  • #3 Fifth Disease in Children: Care Instructions | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.fifth-disease-in-children-care-instructions.uh3514
    Fifth disease can cause symptoms similar to the flu. Your child may have a runny nose, sore throat, headache, belly pain, and achy joints. A few days later, a bright red rash may appear on their cheeks and then may appear on the rest of the body. The rash may last for 7 to 10 days. The rash may come and go for several weeks. […] Call your doctor now or seek immediate medical care if: Your child feels weak and tired and has pale skin. Your child has a fever, fast breathing, and a racing heart, and has no energy. […] Watch closely for changes in your child’s health, and be sure to contact your doctor if: Your child does not get better as expected.
  • #4
    https://www.healthychildren.org/English/health-issues/conditions/skin/Pages/Fifth-Disease-Parvovirus-B19.aspx
    Most times, fifth disease does not cause problems in pregnancy. Rarely, serious problems can occur if the virus gets passed on in the early stages of pregnancy and makes it hard for the fetus to make red blood cells. […] If you think your child may have fifth disease, it’s okay to call your pediatrician’s office with questions.