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Erythema infectiosum in Infant/Neonate
Other Resources UpToDate PubMed

Erythema infectiosum in Infant/Neonate

Contributors: Eric Ingerowski MD, FAAP, Craig N. Burkhart MD, Dean Morrell MD, Susan Burgin MD
Other Resources UpToDate PubMed

Synopsis

Erythema infectiosum, or fifth disease, is a common illness in young children due to infection with parvovirus B19. Infection can result in a mild exanthem, no exanthem, or the typical "slapped cheeks" rash.

The illness is biphasic, with a prodromal headache, low-grade fever, myalgias, rhinorrhea, and malaise beginning 7 days after infection, with symptoms lasting up to 5 days. The second phase begins about 1 week after the first phase begins and is comprised of the characteristic slapped-cheek facial rash followed by a lacy, reticulated body rash and/or arthralgias. Children recover spontaneously without therapy.

Individuals who are in early pregnancy (up to 21 weeks pregnant) and those who are immunocompromised or have a hemoglobinopathy are at elevated risk for complications.

Codes

ICD10CM:
B08.3 – Erythema infectiosum [fifth disease]

SNOMEDCT:
34730008 – Erythema infectiosum

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Last Reviewed:09/17/2024
Last Updated:09/26/2024
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Erythema infectiosum in Infant/Neonate
A medical illustration showing key findings of Erythema infectiosum (Rash Stage) : Bilateral distribution, Cheek, Reticular configuration, Thigh, Trunk
Clinical image of Erythema infectiosum - imageId=105902. Click to open in gallery.  caption: 'Erythematous patches on the cheeks giving rise to the "slapped cheek" appearance.'
Erythematous patches on the cheeks giving rise to the "slapped cheek" appearance.
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