Slapped Cheek Syndrome Flashcards
What is slapped cheek syndrome also called?
- Fifth disease
- Erythema infectiosum.
- Parvovirus B19
What is the main cause of slapped cheek syndrome?
Parvovirus B19
How is parvovirus B19 spread?
Respiratory route
When is a person with parvovirus B19 infectious?
3 to 5 days before the appearance of the rash.
What is the characteristic features of Parvovirus B19?
Rash that appears quite rapidly as a diffuse bright red rash on both cheeks
Rose-red rash makes the cheeks appear bright red
What can occur before the rash appears
- Mild fever
- Coryza
- Non-specific viral symptoms- muscle aches and lethargy.
When does the rash typically appear after the onset of symptoms?
About 2-5 days after the onset of symptoms
What can appear a few days after the onset of the rash?
A reticular mildly erythematous rash affecting the trunk and limbs appears that can be raised and itchy
How does the facial rash progress?
Peaks after a week and then fades.
For a few months after a warm bath, sunlight, heat or fever will trigger a recurrence of the bright red cheeks and the rash itself.
What can trigger the recurrence of the rash a few months after it has faded?
Warm bath
Sunlight
Heat
Fever
What type of condition is slapped cheek syndrome?
Self-limiting condition
How long will it take for the rash to fade in parvovirus b19?
1-2 weeks
How should a child with Parvovirus B19 be managed?
Simple analgesia and fluid
Which patients are at risk of complications with Parvovirus B19?
Immunocompromised patients
Pregnant women
Patients with haematological conditions-
Which haematological conditions would put the patient as risk of complications?
Sickle cell anaemia
Thalassaemia
Hereditary spherocytosis
What complication are immunocompromised patients at risk of?
Pancytopenia
(reduced RBC)
What complication are patients with a haematological condition at risk of?
What complication are pregnant patients at risk of?
Hydrops fetalis
When is a child infective with Parvovirus B19?
Before the rash forms
