What is fifth disease?
Fifth disease is a viral illness that causes a rash (exanthem). 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. Fifth disease is spread from one child
to another through direct contact with fluid from the nose and throat. It can also
be spread through contact with infected blood. It is moderately contagious.
What causes fifth disease?
Fifth disease is caused by the human parvovirus B19. It happens most often in the
winter and spring. It is most common in young school age children. Children often
get it at school or other places where children gather. Adults can get fifth disease
too, but most infections are in children.
What are the symptoms of fifth disease?
Symptoms usually show up 4 to 14 days after being exposed to the disease. About 80%
of infected children have very mild symptoms for about a week before getting the rash.
About 20% will have no symptoms at all before the rash appears. Children are most
contagious before the rash occurs. Therefore, children are contagious before they
even know they have the disease. These are the most common symptoms of fifth disease:
Fifth disease is usually a mild illness. However, it may cause an acute severe anemia
in persons with sickle-cell disease or immune deficiencies. There is a small risk
of fetal death if fifth disease is acquired during pregnancy.
The symptoms of fifth disease are similar to other conditions or medical problems.
Always see your child's healthcare provider for a diagnosis.
How is fifth disease diagnosed?
Your child’s healthcare provider will do a complete medical history and physical exam
of your child. This may be enough to diagnose fifth disease as the rash and progression
of fifth disease are unique. Your child's provider may also order blood tests.
Treatment for fifth disease
The goal of treatment is to help reduce symptoms. Since it is a viral infection, there
is no cure for fifth disease. Treatment may include:
Drinking more fluids
Taking acetaminophen or ibuprofen for fever and discomfort. Do not give ibuprofen
to children younger than 6 months unless directed by your healthcare provider. Do
not give aspirin to children. Aspirin can cause a serious health condition called
Using an antihistamine for itching
The best ways to keep fifth disease and other illnesses from spreading include hand-washing
with soapy water, and covering the mouth and nose when coughing or sneezing.