Urgent or Emergency Care?
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- Viral rash that starts with red cheeks and spreads to the shoulders
Symptoms of Fifth Disease
- Bright red cheeks on both sides for 1 to 3 days. Looks like "slapped cheeks".
- Followed by pink "lace-like" (net-like) rash of arms and legs.
- "Lacy" rash mainly is on thighs and upper arms/shoulders.
- Rash also is on chest and stomach in 50% of children.
- The rash does not itch or hurt.
- No fever or low-grade one less than 102° F (39° C).
- Peak age: 4 -12 years.
Cause of Fifth Disease
- It is caused by the human parvovirus B19.
- Not related to the dog parvovirus.
Prevent Spread to Others
- Good hand washing can prevent spread of this illness.
- Once the rash occurs, the child can no longer spread the virus.
Call 911 Now
- You think your child has a life-threatening emergency
Call Doctor or Seek Care Now
- Only 1 cheek is red and also has fever
- Your child looks or acts very sick
- You think your child needs to be seen, and the problem is urgent
Call Doctor Within 24 Hours
- Fever over 102° F (39° C)
- You think your child needs to be seen, but the problem is not urgent
Call Doctor During Office Hours
- Sore throat lasts more than 48 hours
- Mother or other caregiver is pregnant
- You have other questions or concerns
Self Care at Home
Care Advice for Fifth Disease
- What You Should Know About Fifth Disease:
- It is a viral rash that is harmless.
- It does not itch or hurt.
- It can be treated at home.
- Here is some care advice that should help.
- Fever Medicine:
- For fevers above 102° F (39° C), give an acetaminophen product (such as Tylenol).
- Another choice is an ibuprofen product (such as Advil).
- Note: Fevers less than 102° F (39° C) are important for fighting infections.
- For all fevers: Keep your child well hydrated. Give lots of cold fluids.
- Pregnant Women - Special Risk:
- The risk of Fifth disease is to the unborn babies of pregnant women. It is not harmful to the woman herself.
- A pregnant woman should see her doctor if she is exposed.
- He will do a test to see if the mother has had the disease. If she has, she is protected.
- If not, the pregnancy will need to be watched closely. Some babies that get it before birth can have problems. Ten percent can have a very low red blood cell count and 2% may die.
- But, birth defects are never a result of this virus.
- What to Expect:
- The lace-like rash can come and go for 1 to 3 weeks.
- Return to School:
- Once your child has the "slapped cheeks", they can no longer spread the illness. Also, the lacy rash cannot be spread to others either.
- Your child does not need to stay home from child care or school.
- It can be spread during the week before the rash begins.
- Exposed children should try not to have any contact with pregnant women. This may be hard to know ahead of time.
- Call Your Doctor If:
- Fever above 102° F (39° C) occurs
- You think your child needs to be seen
- Your child becomes worse
Care Advice for Fifth Disease
There is redness and puffiness of both cheeks; this is the first sign of Fifth's Disease.
The information contained in these topics is not intended nor implied to be a substitute for professional medical advice, it is provided for educational purposes only. You assume full responsibility for how you choose to use this information.
Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Talk with your healthcare provider about any questions you may have regarding a medical condition. Nothing contained in these topics is intended to be used for medical diagnosis or treatment.
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- Your child's doctor can perform a physical examination and any necessary tests.
- Your child could have an underlying medical problem that requires a physician to detect.
- If your child is taking medications, they could influence how he experiences various symptoms.
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