1. MedlinePlus Medical Encyclopedia: Fifth Disease Learn what it is, causes, symptoms, and treatment. Includes picture of the rash that looks like slapped cheeks. http://www.nlm.nih.gov/medlineplus/ency/article/000977.htm

@import url(/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Fifth disease Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... Calling your health care provider Illustrations Fifth disease Alternative names Return to top Parvovirus B19; Erythema infectiosum; Slapped cheek Definition Return to top Fifth disease is a viral illness with mild symptoms and a blotchy rash. The rash begins on the cheeks and spreads to the arms and legs. Causes, incidence, and risk factors Return to top Fifth disease is caused by human parvovirus B19. It often affects preschoolers or school-age children during the spring. The disease is spread by contact with respiratory secretions and usually lasts for five days. However, the rash associated with fifth disease may recur for several weeks. Recurrences may be brought on by exposure to sunlight, heat, exercise, fever, or emotional stress. The first sign of the disease noticed by parents is usually bright red cheeks, which look as though the child has been recently slapped on both sides of the face. Following this, a rash appears on the extremities and trunk. The rash fades from the center outwards, giving it a lacy appearance. Over a period of 1-2 weeks, the rash disappears entirely. This illness is also sometimes associated with fever. If a pregnant woman becomes infected with parvovirus, it can cause significant harm to her unborn baby. Any pregnant woman who believes that she may have been in contact with a person who has parvovirus should consult with her physician.

2. EMedicine - Erythema Infectiosum (Fifth Disease) : Article By Glenn L Zellman, M Erythema Infectiosum (fifth disease) Erythema infectiosum is a common childhood exanthem caused by human Parvovirus B19 (PV-B19), in which a classic http://www.emedicine.com/derm/topic136.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Dermatology Viral Infections Erythema Infectiosum (Fifth Disease) Last Updated: March 9, 2005 Rate this Article Email to a Colleague Synonyms and related keywords: fifth disease slapped-cheek disease academy rash Sticker's disease , Sticker disease, childhood exanthem Parvovirus B19 PV-B19 PV-B19 infection , Parvoviridae family, acute arthropathy , acute polyarthropathy, coryza pharyngitis arthralgias malar rash AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Glenn L Zellman, MD , Consulting Staff, Department of Internal Medicine, West Boca Medical Center Editor(s): Bernice R Krafchik, MB, ChB , Head, Section of Dermatology, University of Toronto; Professor, Department of Pediatrics, Hospital for Sick Children, Canada; Richard Vinson, MD

3. CDC - Fifth Disease & Parvovirus B19 Infection Features signs and symptoms, incubation period, risks, and prevention. http://www.cdc.gov/ncidod/diseases/parvovirus/B19.htm

About Parvovirus B19 Fifth Disease Infection and Pregnancy REVB Respiratory and Enteric Viruses Branch Home Fifth Disease What is "fifth disease? " Fifth disease is a mild rash illness that occurs most commonly in children. The ill child typically has a "slapped-cheek" rash on the face and a lacy red rash on the trunk and limbs. Occasionally, the rash may itch. An ill child may have a low-grade fever, malaise, or a "cold" a few days before the rash breaks out. The child is usually not very ill, and the rash resolves in 7 to 10 days. What causes fifth disease? Fifth disease is caused by infection with human parvovirus B19. This virus infects only humans. Pet dogs or cats may be immunized against "parvovirus," but these are animal parvoviruses that do not infect humans. Therefore, a child cannot "catch" parvovirus from a pet dog or cat, and a pet cat or dog cannot catch human parvovirus B19 from an ill child. Can adults get fifth disease?

4. Centers For Disease Control And Prevention: Respiratory And Enteric Viruses Bran Includes cause, symptoms, complications, diagnosis, prevention, and treatment. http://www.cdc.gov/ncidod/dvrd/revb/respiratory/parvo_b19.htm

NREVSS Measles Viral Gastroenteritis Rotavirus ... Severe Acute Respiratory Syndrome (SARS) Parvovirus B19 (Fifth Disease) What is "fifth disease? " Fifth disease is a mild rash illness that occurs most commonly in children. The ill child typically has a "slapped-cheek" rash on the face and a lacy red rash on the trunk and limbs. Occasionally, the rash may itch. An ill child may have a low-grade fever, malaise, or a "cold" a few days before the rash breaks out. The child is usually not very ill, and the rash resolves in 7 to 10 days. What causes fifth disease? Fifth disease is caused by infection with human parvovirus B19. This virus infects only humans. Pet dogs or cats may be immunized against "parvovirus," but these are animal parvoviruses that do not infect humans. Therefore, a child cannot "catch" parvovirus from a pet dog or cat, and a pet cat or dog cannot catch human parvovirus B19 from an ill child. Can adults get fifth disease? Yes, they can. An adult who is not immune can be infected with parvovirus B19 and either have no symptoms or develop the typical rash of fifth disease, joint pain or swelling, or both. Usually, joints on both sides of the body are affected. The joints most frequently affected are the hands, wrists, and knees. The joint pain and swelling usually resolve in a week or two, but they may last several months. About 50% of adults, however, have been previously infected with parvovirus B19, have developed immunity to the virus, and cannot get fifth disease.

5. Redirect To CTIS_Fact_Sheets Includes signs and symptoms, tests available, and fetal risk. http://orpheus.ucsd.edu/otis/FifthDisease.html

FACT SHEETS This page has moved. Please click here if you are not redirected. Thank you.

6. Erythema Infectiosum (Fifth Disease) Features the reason for the name fifth disease , symptoms, and risks. http://www.drreddy.com/shots/fifth.html

Dr. Reddy's Pediatric Office on the Web TM Erythema Infectiosum (Fifth Disease) Erythema infectiosum, or "fifth disease", is a common infection of childhood caused by a virus. The term "fifth disease" does not refer to someone named "Fifth", but rather to the fifth of six classic exanthems , or rash-associated diseases, of childhood. The numbering is of historic interest only: the other examthems, in order are first: measles ; second: scarlet fever; third: rubella ; fourth: "Dukes' disease" , which was never clearly distinguished from other rash-producing diseases and is now thought to have been either measles, rubella, scarlet fever, a Staphylococcal infection, or one of several unspecified enteroviral infections; and sixth: roseola The virus responsible for erythema infectiosum is parvovirus B19 , a virus that lives only in humans. It seems to be transmitted mainly by body fluids, including droplets produced when you cough or sneeze but also including blood. Symptoms usually appear within 4 days to 2 weeks after exposure, but may take as long as 3 weeks. The virus seems to be less contagious once the rash appears (so children with the rash can go to school or day-care without exposing others).

7. EMedicine Health - Fifth Disease Overview fifth disease (the medical name is erythema infectiosum or EI) is a mild illness caused by a virus. It is seen primarily in schoolaged children between 5 http://www.emedicinehealth.com/articles/15841-1.asp

Search September 9, 2005 Registration Healthcare Professionals You are in: Children's Health Fifth Disease Fifth Disease Overview Fifth disease (the medical name is erythema infectiosum or EI) is a mild illness caused by a virus. It is seen primarily in school-aged children between 5 and 14 years during the spring and winter. Fifth disease causes a reddish rash on the child's face that looks as if the child has been slapped. The virus is thought to spread via droplets in the air (respiratory secretions transmitted by coughs and sneezes) and blood. Early during the illness, nasal secretions have been shown to contain the viral DNA. Blood has been found to contain viral particles as well as DNA. Cases of fifth disease can occur either sporadically or as part of community outbreaks. Outbreaks occur mainly in elementary schools during the spring. Half of the cases occur from spread of the virus to others in the household. Transmission of the infection in schools is less common. At least half of adults have had the infection and are unlikely to be re-infected. About 10% or fewer of young children are immune. People with the illness are contagious before the onset of symptoms and are probably not contagious after they develop the rash. The incubation period from the time of acquiring the infection to the development of symptoms is usually between 4-14 days.

8. Parvovirus Infection - MayoClinic.com Includes symptoms, cause, diagnosis, complications, and treatment. http://www.mayoclinic.com/invoke.cfm?id=DS00437

9. Fifth Disease Features signs and symptoms, treatment, risks, prevention, and description of the parvo B19 virus that causes fifth disease. http://kidshealth.org/parent/infections/bacterial_viral/fifth.html

KidsHealth Parents Infections Especially common in children between the ages of 5 and 15, fifth disease typically produces a distinctive red rash on the face that makes the child appear to have a slapped cheek. The rash then spreads to the trunk, arms, and legs. Despite being called a "disease," fifth disease is actually just a viral illness that the majority of children will recover from - with no complications - in a short period of time. Fifth disease (also called erythema infectiosum) is caused by parvovirus B19. A human virus, parvovirus B19 is not the same parvovirus that veterinarians may be concerned about in pets, especially dogs, and it cannot be passed from humans to animals or vice versa. Studies show that although 40% to 60% of adults worldwide have laboratory evidence of a past parvovirus B19 infection, most of these adults can't remember having had symptoms of fifth disease. This leads medical experts to believe that most people with a B19 infection have either very mild symptoms or no symptoms at all. Fifth disease occurs everywhere in the world. Outbreaks of parvovirus tend to happen in the late winter and early spring, but there may also be sporadic cases of the disease any time throughout the year.

10. Fifth Disease Features signs and symptoms, treatment, risks, prevention, and description of the parvo B19 virus that causes fifth disease. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

11. Fifth Disease Features signs and symptoms, treatment, risks, prevention, and description of the parvo B19 virus that causes fifth disease. http://www.kidshealth.org/parent/infections/bacterial_viral/fifth.html

KidsHealth Parents Infections Especially common in children between the ages of 5 and 15, fifth disease typically produces a distinctive red rash on the face that makes the child appear to have a slapped cheek. The rash then spreads to the trunk, arms, and legs. Despite being called a "disease," fifth disease is actually just a viral illness that the majority of children will recover from - with no complications - in a short period of time. Fifth disease (also called erythema infectiosum) is caused by parvovirus B19. A human virus, parvovirus B19 is not the same parvovirus that veterinarians may be concerned about in pets, especially dogs, and it cannot be passed from humans to animals or vice versa. Studies show that although 40% to 60% of adults worldwide have laboratory evidence of a past parvovirus B19 infection, most of these adults can't remember having had symptoms of fifth disease. This leads medical experts to believe that most people with a B19 infection have either very mild symptoms or no symptoms at all. Fifth disease occurs everywhere in the world. Outbreaks of parvovirus tend to happen in the late winter and early spring, but there may also be sporadic cases of the disease any time throughout the year.

12. CDC - Fifth Disease Parvovirus B19 Infection Home fifth disease What is "fifth disease?" fifth disease is a mild rash illness that occurs most commonly in children. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

13. Centers For Disease Control And Prevention Respiratory And Viral Meningitis Hand, Foot, and Mouth Disease Parvovirus B19 (fifth disease) B19 and Pregnancy Adenovirus Human Parainfluenza http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

14. MedlinePlus: Fifth Disease Information from the Medical Encyclopedia; fifth disease. MedlinePlus Go Local Select services and providers for fifth disease in your area. http://www.nlm.nih.gov/medlineplus/fifthdisease.html

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Other health topics: A B C D ... List of All Topics Fifth Disease Contents of this page: Overviews Organizations Information from the Medical Encyclopedia Search MEDLINE/PubMed for recent research articles on Fifth Disease You may also be interested in these MedlinePlus related pages: Child and Teen Health Infections Overviews Fifth Disease (Erythema Infectiosum) (Nemours Foundation) Parvovirus B19 (Fifth Disease) (National Center for Infectious Diseases) Also available in: Spanish Parvovirus Infection (Mayo Foundation for Medical Education and Research) Related Issues Parvovirus B19 Infection and Pregnancy (National Center for Infectious Diseases) Organizations National Center for Infectious Diseases National Institute of Allergy and Infectious Diseases Information from the Medical Encyclopedia Fifth Disease Select services and providers for Fifth Disease in your area. Select Location IN - Indiana MA - Massachusetts MO - Missouri NC - North Carolina TX - Texas, South

15. MEDArticleMgr ,symptoms, treatment, and prognosis for 'slap cheek' disease....... http://www.drgreene.org/body.cfm?id=49&action=Display&articlenum=977

16. Communicable Disease Fact Sheet Communicable Disease Fact Sheet, fifth disease http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

17. Erythema Infectiosum (Fifth Disease) Features the reason for the name _QUOTATION_fifth disease_QUOTATION_, symptoms, and risks. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

18. Fifth Disease (erythema Infectiosum). DermNet NZ Authoritative facts about the skin from the New Zealand Dermatological Society. http://dermnetnz.org/viral/fifth.html

@import url("/common/screen.css"); DermNet NZ Ad Authoritative facts about the skin from the New Zealand Dermatological Society Incorporated Home For patients For doctors ... Site map Search: Home Viral Fifth disease Fifth disease is a common childhood infection causing a slapped cheek appearance and a rash. It is also known as erythema infectiosum Fifth disease is caused by Parvovirus B19 . It most commonly affects young children and often occurs in several members of the family or school class. Thirty percent of infected individuals have no symptoms. Family affected by parvovirus The child is usually otherwise quite well, but occasionally has a slight fever and headache. The first sign is firm red cheeks, which feel burning hot. A rash follows 1 to 4 days later with a lace or network pattern on the limbs and then the trunk. Although most prominent in the first few days, the rash can persist at least intermittently for up to six weeks. Complications Rarely fifth disease results in complications. Arthritis in infected adults Aplastic crisis in patients with blood disorders (potentially dangerous low blood cell count) Intrauterine death (9%) or hydrops fetalis in 3% of the offspring of infected pregnant women can occur if the infection occurs in the first half of pregnancy. However, congenital malformations do not occur. As the risk of an adverse outcome is very low, the infection is not routinely screened for in pregnancy.

19. Fifths Disease fifth disease (erythema infectiosum) What to look for Bright red or rosy rash on both cheeks for 1 to 3 days (slapped cheek appearance). http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

20. Communicable Disease Fact Sheet Communicable Disease Fact Sheet, fifth disease. fifth disease is a viral infection which often affects red blood cells. http://www.health.state.ny.us/nysdoh/communicable_diseases/en/fifth.htm

skip to main content New York State Governor Pataki map-NY ... Department of Health Information for a Healthy New York Home Contact Help A-Z Index Search Search this site: Site Contents Health Insurance Programs Employment Opportunities Forms Grants/Funding Opportunities ... Related Sites You are Here: Home Page Communicable Disease Fifth Disease Fifth Disease (erythema infectiosum, parvovirus B19 infections) Further Information Wadsworth Center for Laboratories and Research What is fifth disease? Fifth disease is a viral infection which often affects red blood cells. It is caused by a human parvovirus (B19) . For many years, fifth disease was viewed as an unimportant rash illness of children. Recently, studies have shown that the virus may be responsible for serious complications in certain individuals. Who gets fifth disease? Anyone can be infected, but the disease seems to occur more often in elementary school-age children. How is the virus spread? The virus is spread by exposure to airborne droplets from the nose and throat of infected people. What are the symptoms and when do they appear?

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