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- $Unique_ID{BRK00963}
- $Pretitle{}
- $Title{What is "The Fifth Disease"?}
- $Subject{fifth disease virus viral infection Infections skin rashes human
- parvovirus B19 erythema infectiosum fever slight malaise blotchy rash isolate
- pregnant women pregnancy pregnancies fetal abnormalities}
- $Volume{A-20}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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-
- What is "The Fifth Disease"?
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- QUESTION: Another of those "unusual diseases" you wish for the public to
- submit--"The Fifth Disease". There was a week in which many of those enrolled
- in one of our local schools were sent home with this rubella resembling
- ailment. I haven't heard of it since. What was this "measly" ailment?
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- ANSWER: You are right, it is a disease that resembles measles in that it,
- too, is caused by a virus and causes a rash. The fifth such disease to be
- recognized (after measles, German measles, chickenpox and roseola), the cause
- has recently been discovered to be human parvovirus B19, and this disease is
- also known as "erythema infectiosum" (a rash of infection). The incubation
- period is 4 to 12 days and the illness itself is usually mild, with low grade
- fever, slight malaise, and a typical blotchy rash that provokes a "slapped
- face" appearance over the cheeks, before spreading to the rest of the body,
- arms and legs. The condition lasts for from 5 to 10 days, but the rash can
- reappear over a period of several weeks, particularly after exposure to bright
- sunlight, after exercise, following a hot bath or shower or even during
- emotional distress. When the infection strikes adults, as it may do on
- occasion, mild joint pain and swelling may sometimes be seen. It breaks out
- most frequently during the spring months and is common in children and
- adolescents. Special precautions to isolate pregnant women from this
- infection are necessary, as fetal abnormalities have been reported in women
- who become infected during their first three months of pregnancy. While blood
- serology tests exist to establish the diagnosis, the appearance and location
- of the rash generally suffices to make the diagnosis. As yet there are no
- immunizations available, and the only treatments available or necessary are
- those simple procedures necessary to keep the patient comfortable during this
- mild illness.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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