Fifth Disease

FIFTH DISEASE (true medical name - Erythema Infectiosum) is a bright red or rosy rash on both cheeks. ("slapped cheek" appearance) followed by a pink "lace-like" rash on the extremities.

Origin of name - Many years ago, when it was unclear to pediatricians what caused childhood rashes, these rashes were labeled as to when they first appeared. Fifth Disease was so named because it was the fifth pink-red rash to be described by physicians. These 5 rashes are (1) Scarlet Fever, (2) Measles, (3) Rubella, (4) Roseola, and (5) Erythema Infectiosum.

  • Caused by the human parvovirus B19.
  • Associated symptoms may include: low-grade fever, slight runny nose, and/or sore throat.
  • The lace-like rash may come and go for up to five weeks, especially after warm baths, exercise, and sun exposure.
  • This distinct rash is harmless and causes no symptoms, which require treatment.
  • Over 50% of exposed children will develop the rash within 10 to 14 days.
  • The child is no longer contagious after the rash appears so he/she may attend daycare/school.

*** Studies have shown that 10% of fetuses who are infected with Fifth disease before birth develop severe anemia or may even die. If a pregnant woman is exposed to a child with Fifth Disease before the rash appears, she should consult her obstetrician!

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