OTC - slapped cheek

Question 1

Symptoms?

Answer 1

• bright red rash on cheeks
• light pink, lace-like, itchy rash on trunk and limbs
• initial cold-like symptoms: most contagious period - occurs a few days before the rash appears, the patient may have a slight fever, sore throat, headache, runny nose and malaise

Question 2

Referral criteria?

Answer 2

• exposed patient groups - pregnant women (causes miscarriage or stillbirth)
• blood disorders (thalassaemia, weakened immune system, sickle cell anaemia = risk of severe anaemia)
• symtpoms of severe anaemia (fainting, severe SOB, very pale skin, extreme tiredness)

Question 3

OTC products?

Answer 3

Symptomatic relief

• paracetamol or ibuprofen
• antihistamines to ease itchy rash e.g. piriton

Question 4

Advice?

Answer 4

• rest and plenty of fluids

- once rash appears it is no longer contagious (no need to stay away from school unless child is feeling unwell)