41. AllRefer Health - Fifth Disease (Erythema Infectiosum, Parvovirus B19, Slapped C fifth disease (Erythema Infectiosum, Parvovirus B19, Slapped Cheek) information center covers causes, prevention, symptoms, diagnosis, treatment, incidence, http://health.allrefer.com/health/fifth-disease-info.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia Web health.allrefer.com You are here : AllRefer.com Health Fifth Disease Fifth Disease Definition Treatment Expectations or Prognosis Complications ... Go To Main Page Alternate Names : Erythema Infectiosum, Parvovirus B19, Slapped Cheek Definition 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. Fifth Disease 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 afterwards. Recurrences may be brought on by exposure to sunlight, heat, exercise, fever, or emotional stress.

42. AllRefer Health - Fifth Disease - Fifth Disease Pictures & Images (Erythema Infe fifth disease fifth disease (Erythema Infectiosum, Parvovirus B19, Slapped Cheek) pictures and images. http://health.allrefer.com/health/fifth-disease-fifth-disease.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia Web health.allrefer.com You are here : AllRefer.com Health Fifth Disease : Fifth Disease Fifth Disease Alternate Names : Erythema Infectiosum, Parvovirus B19, Slapped Cheek Fifth Disease Fifth disease is an acute viral disease characterized by mild symptoms and a blotchy rash beginning on the cheeks and spreading to the extremities. Jump to another section Definition Fifth Disease Treatment Fifth Disease Prognosis Fifth Disease Complications ... Calling Your Health Care Provider Topics that might be of interest to you AIDS Other Topics Benign Joint Pain Rashes Respiratory ... Main Page of Fifth Disease From Our Sponsors: A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's

43. Fifth Disease Detailed information on fifth disease, including causes, symptoms, diagnosis, and treatment. http://www.healthsystem.virginia.edu/uvahealth/peds_derm/fifth.cfm

[ Skip Navigation ] Health System Home For Health Answers Healthcare Professionals ... Advanced Search Health System Search Search for Information People UVa Home Health System News Health System Events (all) Health System Publications ... Making a Gift Topics Adolescent Medicine Allergy/Asthma/Immunology Blood Disorders Burns Cancer Common Injuries/Poison Tips Craniofacial Anomalies Dermatology Diabetes/Endo/Metabolism Eye Care Genitourinary/Kidney High-Risk Newborn High-Risk Pregnancy Infectious Diseases Medical Genetics Mental Health Nervous System Disorders Normal Newborns Oral Health Orthopaedics Pediatric Surgery Respiratory Disorders Terminal Illness in Children Transplantation UVa Health Topics A to Z FIND A DOCTOR General Pediatrics MAKE AN APPOINTMENT CALENDAR OF EVENTS ... CLINICAL TRIALS Search This Site Fifth Disease What is fifth disease? Fifth disease is a viral illness that is associated with exanthem. Exanthem is another name for a rash or skin eruption. It is spread from one child to another through direct contact with discharge from the nose and throat. It can also be spread through contact with infected blood. It is moderately contagious and usually does not include a high fever, as seen with some other viral skin conditions. What causes fifth disease?

44. Fifth Disease Detailed information on fifth disease, including cause, symptom, diagnosis, and treatment. http://www.healthsystem.virginia.edu/uvahealth/peds_infectious/fifth.cfm

[ Skip Navigation ] Health System Home For Health Answers Healthcare Professionals ... Advanced Search Health System Search Search for Information People UVa Home Health System News Health System Events (all) Health System Publications ... Making a Gift Topics Adolescent Medicine Allergy/Asthma/Immunology Blood Disorders Burns Cancer Common Injuries/Poison Tips Craniofacial Anomalies Dermatology Diabetes/Endo/Metabolism Eye Care Genitourinary/Kidney High-Risk Newborn High-Risk Pregnancy Infectious Diseases Medical Genetics Mental Health Nervous System Disorders Normal Newborns Oral Health Orthopaedics Pediatric Surgery Respiratory Disorders Terminal Illness in Children Transplantation UVa Health Topics A to Z FIND A DOCTOR Adoption Pediatric Infectious Diseases Pediatric Neuropsychology ... CLINICAL TRIALS Search This Site Fifth Disease What is fifth disease? Fifth disease is a viral illness that is associated with exanthem. Exanthem is another name for a rash or skin eruption. It is spread from one child to another through direct contact with discharge from the nose and throat. It can also be spread through contact with infected blood. It is moderately contagious and usually does not include a high fever, as seen with some other viral skin conditions. What causes fifth disease?

45. HON Mother & Child Glossary, Viral Infections In Childhood: Fifth Disease Erythema infectiosum (fifth disease) is a contagious viral infection caused by fifth disease occurs everywhere in the world, especially in children http://www.hon.ch/Dossier/MotherChild/child_virus/virus_erythema.html

Introduction Reproduction Pregnancy During Pregnancy ... Glossary A-Z Childhood Illness Bacteria Virus Cancer Gastrointestinal ... Mental Health Viral Infections in Childhood: Fifth Disease Description Erythema Infectiosum : Contagious infection with human B19 Parvovirus most commonly seen in school age children and characterized by fever, headache, and rashes of the face, trunk, and extremities. It is often confused with rubella. [1] Parvovirus B19, Human : The sole species of ERYTHROVIRUS and the etiological agent of ERYTHEMA INFECTIOSUM, a disease most commonly seen in school-age children. [1] Other HON resources From MedHunt (websites) Erythema infectiosum From HONselect Erythema Infectiosum Parvovirus B19, Human Recent articles from Medline Erythema Infectiosum Parvovirus B19, Human Home About us ... Contact http://www.hon.ch/Dossier/MotherChild/child_virus/virus_erythema.html Last modified: Tue Jun 25 2002

46. Fifth Disease (Erythema Infectiosum) Fact Sheet A person with fifth disease usually spreads the virus before the rash starts There is no specific treatment or vaccine for fifth disease at this time http://edcp.org/factsheets/fifth.html

EDCP Mission/Vision General Information on Bioterrorism Bioterrorism Information for Health Care Providers Fact Sheets ... ImmuNet Fifth Disease (Erythema Infectiosum) Fact Sheet PDF Version of this Fact Sheet Fifth disease is a mild rash illness It is caused by a human virus called parvovirus B19 and primarily affects school age children. Many people already have had fifth disease Most people get infected between 5 and 14 years of age. It is estimated that about half the adults in the United States have been infected with parvovirus B19 and therefore can not get it again. A red, patchy, "slapped cheek" rash on the face is common during infection The rash may appear on other parts of the body (such as the arms, trunk, buttocks, and thighs). Other symptoms such as fever, headache, body ache, sore throat, congestion, runny nose, cough, nausea, or diarrhea may come before the rash. In adults, joint pains or arthritis may occur. Symptoms usually start 4 to 20 days after a person has been exposed. About 25% of all cases have no symptoms. In both children and adults, the disease is usually mild and recovery occurs without problems.

47. Fifth Disease CHC Wausau Hospital s Medical Library and Patient Education Center provides research services and healthcare information to physicians, http://www.chclibrary.org/micromed/00048400.html

Main Search Index Definition Description Causes ... Resources Fifth disease Definition Fifth disease is a mild childhood illness caused by the human parvovirus B19 that causes flu-like symptoms and a rash. It is called fifth disease because it was fifth on a list of common childhood illnesses that are accompanied by a rash, including measles rubella or German measles, scarlet fever (or scarlatina), and scarlatinella, a variant of scarlet fever. Description The Latin name for the disease is erythema infectiosum , meaning infectious redness. It is also called the "slapped cheek disease" because, when the bright red rash first appears on the cheeks, it looks as if the face has been slapped. Anyone can get the disease, but it occurs more frequently in school-aged children. The disease is usually mild, and both children and adults usually recover quickly without complications. In fact, some individuals exhibit no symptoms and never even feel ill. Outbreaks most often occur in the winter and spring. Causes and symptoms Fifth disease is caused by the human parvovirus B19, a member of the Parvoviridae family of viruses, that lives in the nose and throat of the infected person. The virus is spread through the air by coughing and sneezing. Because the virus needs a rapidly dividing cell in order to multiply, it attacks the red blood cells of the body. Once infected, a person is believed to be immune to reinfection.

48. ► Fifth Disease A medical encycopedia article on the topic fifth disease. http://www.umm.edu/ency/article/000977.htm

var MenuLinkedBy='AllWebMenus [2]', awmBN='530'; awmAltUrl=''; Disease Nutrition Surgery Symptoms Injury ... Z Maryland Medical Center Programs UM Hospital for Children Home Medical Reference Encyclopedia (English) Toggle English Spanish Fifth disease Overview Symptoms Treatment Prevention Definition: Fifth disease is an acute viral illness characterized by mild symptoms and a blotchy rash beginning on the cheeks and spreading to the extremities. Alternative Names: Parvovirus B19; Erythema infectiosum; Slapped cheek Causes, incidence, and risk factors: 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 afterwards. 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. Infection of a pregnant woman can harm the fetus. Although the risk of fetal harm is small, if a pregnant woman believes that she may have been in contact with a person who has parvovirus, she should consult with her physician.

49. Fifth Disease - UMMC fifth disease is an acute viral disease characterized by mild symptoms and a blotchy rash beginning on the cheeks and spreading to the extremities. http://www.umm.edu/imagepages/19074.htm

var MenuLinkedBy='AllWebMenus [2]', awmBN='530'; awmAltUrl=''; Home Medical Reference Encyclopedia (English) Toggle English Spanish Fifth disease is an acute viral disease characterized by mild symptoms and a blotchy rash beginning on the cheeks and spreading to the extremities. Review Date: 12/13/2001 12:00:00 AM Reviewed By:A.D.A.M. Medical Illustration Team

50. Erythema Infectiosum, Fifth Disease, Information, Cause, Treatment, Cure By Orla Erythema infectiosum more commonly known as fifth disease is a peculiar disorder of the fifth disease is caused by a virus. The virus is a parvovirus, http://www.orlandoskindoc.com/erythema_infectiosum.htm

Skin Care Product Store Toll Free Ordering 1-800-393-3848 Home Skin Disease Information Streaming Videos Skin Care Store ... Medical Services Appointments 407-352-2444 ERYTHEMA INFECTIOSUM (FIFTH DISEASE) This patient information and photographs on Erythema infectiosum/Fifth Disease are provided by John L. Meisenheimer, M.D. a board certified Dermatologist and skin care specialist based in Orlando, Florida. This information is not intended as a substitute for the medical advice or treatment of a dermatologist or other physician. What is it? Erythema infectiosum more commonly known as Fifth disease is a peculiar disorder of the skin. The condition commonly affects children and young adults. Typically it appears as a red rash on the face that gives a slapped cheek appearance. A few days later a fish net like pattern of redness may appear on the arms and trunk. What causes it? Fifth disease is caused by a virus. The virus is a parvovirus, but not related to the parvovirus that pets may get. You cannot get this parvovirus from an animal.

51. Viral Infections - Erythema Infectiosum - DermatologyChannel Erythema infectiosum, also known as fifth disease, is a viral infection that mainly occurs in childhood occurs worldwide. It is caused by parvovirus B19 and http://www.dermatologychannel.net/viral_infection/erythema_infectiosum.shtml

Home Search SiteMap Contact Us ... Medical Store VIRAL INFECTIONS Overview Chickenpox Fifth Disease Hand-Foot-and-Mouth Disease Herpes Simplex Virus Molluscum Postherpetic Neuralgia Pityriasis Rosea ... FAQs CONDITIONS Acne Alopecia (Baldness) Blistering Disorders Blood Vessel Disorders Dermatitis (Eczema) Follicle Disorders Fungal Infections Lyme Disease ... Viral Infections RESOURCES Anatomy Clinical Trials Dermatology Forum Glossary ... What Is a Dermatologist? FOR DOCTORS ONLY Website Services Get Listed in MDLocator ABOUT US Healthcommunities.com Testimonials Overview Erythema infectiosum, also known as fifth disease, is a viral infection that mainly occurs in childhood, usually as an epidemic associated with outbreaks in schools. Cause Erythema infectiosum is caused by parvovirus B19. It is believed to be primarily transmitted by the respiratory route (the B19 virus has been isolated from respiratory secretions during the contagious phase). Once the rash appears, the child is no longer contagious. About one-half of adults are immune to the infection due to previous exposure. Signs and Symptoms The incubation period ranges from 1 to 2 weeks. Elevated quantities of the virus are found in the blood and secretions for about 1 to 2 weeks after exposure. During this time, low-grade fever and malaise may be present. About 2 weeks after exposure, a characteristic rash appears, in three stages. First a "slapped cheek", or "sunburned" appearance on the child’s face occurs. Second, pink, slightly elevated bumps appear on the arms and legs. Finally, after several days, the rash begins to fade, and an overall lacy or marble-like pattern occurs. This last phase of the rash is highly diagnostic of fifth disease. The lacy rash typically resolves in 1 1/2 weeks but can persist more than 3 weeks. After apparent resolution, it may resurface, especially during hot weather. There are some reports of itching.

52. Fifth Disease Links to information relating to Fifth (or slapped face ) Disease. http://www.healthinsite.gov.au/topics/Fifth_Disease

Skip to Content Advanced Search About Health Insite A-Z Health Topics ... Conditions and Diseases Topics such as asthma, diabetes, cancer, arthritis, depression Health and Wellbeing Topics such as fitness, nutrition, drugs, preventing suicide, health insurance, women's health, living with a disability Life Stages and Events Topics such as menopause, pregnancy, ageing, going into hospital Health Services Includes links to State/Territory Health Services and other services News Health Insite Newsletter ... Home Fifth Disease Follow the links below to find information relating to Fifth Disease. Updated April 2005 Printer friendly page 6 Resources Found Results 1 to 6 displayed. Title: Slapped face disease Publisher: Better Health Channel Description: Slapped face disease commonly affects children and causes bright red cheeks. For most people, this illness is no worse than a cold. Rarely, if a pregnant woman gets this infection, there can be harm to her unborn child. Most unborn babies are not affected even when they get this infection. Date: Feb 2005 Title: Fifth disease Publisher: Child and Youth Health - CYH (South Australia) Description: Fifth disease is a common viral infection in childhood which is sometimes called 'slapped face disease'. It usually causes a mild illness. The most common sign is a rash on the face, which looks as if the face has been slapped. The rash may spread to the rest of the body.

53. FIFTH DISEASE fifth disease SLAPPED CHEEK DISEASE . You get a call from school. Your child has fifth disease, please come pick her up. As you rush to school in a http://www.askdrsears.com/html/8/T083500.asp

Search for FIFTH DISEASE: "SLAPPED CHEEK DISEASE" You get a call from school. "Your child has fifth disease, please come pick her up." As you rush to school in a panic, you picture your child lying on a couch in the nurse's office, lethargic, high fever, moaning. "What is fifth disease anyway", you ask yourself. "Is it serious? You arrive at the school; rush in to the office, only to find your child sitting at a table, happily drawing a picture with a big smile on her face. This is a very common scenario. Here is Dr. Sears guide to this very harmless, and very common childhood illness. WHAT IS FIFTH DISEASE? It is a harmless viral illness caused by Parvovirus. It is so called because it was the fifth fever and rash illness identified (along with chickenpox, measles, etc.). It is also called "slapped cheek disease" because of its major distinguishing characteristic – bright red cheeks that look like the child has been slapped. It can also infect adults. WHAT DOES FIFTH DISEASE LOOK LIKE? Bright red cheeks with pale skin around the mouth.

54. What Is Fifth Disease? Dr. Kujtan describes fifth disease, an old name for a common childhood illness, more technically called Erythema Infectiosum. http://www.aresearchguide.com/drk5th.html

var zflag_nid="423"; var zflag_cid="192/179"; var zflag_sid="199"; var zflag_width="728"; var zflag_height="90"; var zflag_sz="14"; What Is Fifth Disease? By Dr. Peter W. Kujtan, B.Sc., M.D., Ph.D. This article originally appeared on page 20 in the April 10-11, 2004 issue of The Mississauga News Fifth Disease is an old name for a common childhood illness. It is more technically called Erythema Infectiosum. In the old days, different types of rashes signified different illnesses and each was assigned a number. It was difficult to distinguish or test for viruses and bacteria, and many people did not even believe that they existed. Measles was called first disease. Second disease was that dreaded Scarlet Fever that the child in my boyhood western movies always succumbs to. It has been easily treatable for years. Third disease was Rubella. The fourth was Duke's Disease which might have been a staphylococcal or an enteroviral infection. But Fifth Disease seems to have stuck with us. Fifth Disease can be thought of as a bad cold with a red rash on the cheeks. It is caused by parvovirus B19. First symptoms are: runny nose, malaise, and fever. This may be followed by a mild rash most intense on the face. This illness can be completely asymptomatic as well. The virus is spread, just like other cold viruses, through airborne droplets and body fluids. Symptoms begin between 5 and 15 days after exposure. It is a very common entity which you get only once, and tend to carry life-long immunity afterwards. It is no more severe or deadly than the common cold, unless your health is compromised to begin with.

55. Fifth Disease fifth disease/Erythema infectiosum. Also called slapped cheek syndrome. Copyright© 2003 Neal R. Chamberlain, Ph.D.. All Rights Reserved. http://www.kcom.edu/faculty/chamberlain/Website/fifth.htm

Fifth Disease/Erythema infectiosum Also called slapped cheek syndrome Neal R. Chamberlain, Ph.D..

56. The Facts About Fifth Disease And Parvovirus B19 fifth disease is a mild rash illness that occurs most commonly in children. The ill child typically has a. http://healthlink.mcw.edu/article/935074789.html

Search Articles: search tips Please Take the HealthLink Survey Email this article Print this article Find related articles: By topic: Children's Health Skin/Dermatology Women's Health By keywords: Receive Health Link via email! Subscribe now >> The Facts about Fifth Disease and Parvovirus B19 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?

57. How To Treat Fifth Disease - EHow.com How to Treat fifth diseasefifth disease (erythema infectiosum) is also known as the slapped cheek disease because it typically causes a bright red rash on http://www.ehow.com/how_6306_treat-fifth-disease.html

type="text/javascript"> Clear Instructions on How To Do (just about) Everything Web eHow.com Home Health Center > Family Health How to Treat Fifth Disease Fifth disease (erythema infectiosum) is also known as the slapped cheek disease because it typically causes a bright red rash on the face, which later spreads down the body. Primarily occurring in childhood, the disease generally produces mild symptoms, often consisting of headache, low-grade fever and a runny or stuffy nose. These symptoms manifest about a week to 10 days before the rash appears. Steps: Keep the affected child in school. Children with fifth disease do not need to be kept home from school unless they feel sick. By the time the rash appears, they are no longer contagious. Give the child an oatmeal bath if the rash causes itching. A commercial oatmeal bath called Aveeno is excellent and will not clog your drain. If you use regular oatmeal, put it inside a nylon stocking and hold it under the running bathwater. Use mild lotions to help relieve itching. Avoid anything with perfumes, which can irritate the skin further.

58. Pediatric Advisor 2004.2: Fifth Disease (Erythema Infectiosum) fifth disease was so named because it was the fifth pinkred infectious rash to be With fifth disease. Your child has a bright red or rosy rash on both http://www.med.umich.edu/1libr/pa/pa_fifthdis_hhg.htm

Pediatric Health Topics All Health Topics Mott Children's Hospital Pediatric Services ... Find a UMHS Doctor Search Pediatric Topics Search All Topics This information is approved and/or reviewed by U-M Health System providers but it is not a tool for self-diagnosis or a substitute for medical treatment. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition. Index Related topics Fifth Disease (Erythema Infectiosum) What is Fifth disease? Fifth disease was so named because it was the fifth pink-red infectious rash to be described by doctors. With Fifth disease: Your child has a bright red or rosy rash on both cheeks for 1 to 3 days ("slapped cheek" appearance). The rash on the cheeks is followed by a pink lacelike or netlike rash on the arms and legs (mainly on the thighs and upper arms). The "lacy" rash comes and goes several times for 1 to 3 weeks. Your child has a low-grade fever (less than 101°F, or 38.4°C) or no fever at all.

59. Prenatal Care: Fifth Disease And Pregnancy Exposure to fifth disease during pregnancy may cause worry to some women. fifth disease is a virus caused by the parvovirus B19. http://www.pregnancy-info.net/risk_factors_fifth_disease.html

Section: Select topic ... Home page Trying to Get Pregnant Infertility Am I pregnant? Medical Tests Prenatal Care Stages of Pregnancy Teen Pregnancy Discomfort Twin and Multiple Working Moms Pregnancy and Diet Exercise and Well Being Pregnancy and Sex Birth Plan Labor and Birth Cesarean Section Risk Factors Pregnancy Complications Pregnancy Loss Complications with Baby Fatherhood Breastfeeding Postpartum Depression Baby Names Baby Showers Your Body Afterward Your Baby’s Nursery Baby Care Older Baby Care A-Z of Pregnancy Terms Pregnant Again? Links STDs and Pregnancy document.write('DisposableDiaperDelivery') document.write('VaricoseVeinTreatment') document.write('PlanAheadFor Health') document.write('ShedPoundsAfterward') document.write('WatchFetusGrowing') document.write('MorningSicknessRemedies') document.write('PregnancyWithoutPounds') document.write('RentA FetalMonitor') Week by week Sex and Pregnancy Weight Gain Fertility In the News Cord Blood Banking Trying to Get Pregnant Infertility Am I pregnant? ... STDs and Pregnancy document.write('Pregnancy Software') document.write('I V F Program')

60. The Virtual Hospital Iowa Health Book Erythema Infectiosum Erythema infectiosum was given the name fifth disease because it was the fifth fifth disease rash sometimes begins with no illness at all but usually http://www.medhelp.org/general2/ww000223.htm

Iowa Health Book: Pediatrics Erythema Infectiosum (Fifth Disease) Noni E. MacDonald, M.D., F.R.C.P.C. Pediatric Infectious Diseases Journal Peer Review Status: Externally reviewed by Pediatric Infectious Diseases Journal Creation Date: Unknown Last Revision Date: Unknown Fifth Disease, Slapped Cheek Disease, Academy Rash General information Erythema infectiosum is a common disease of school children characterized by a red rash on the cheeks followed by a lacy rash on the arms and legs. It usually causes very little illness although adolescents sometimes have mild joint pains or swelling. Erythema infectiosum was given the name "fifth disease" because it was the fifth of the childhood rashes (measles, German measles, etc.) to be described. The disease is caused by parvovirus B19. It is spread by direct contact with infected mucus from the nose or mouth or by inhaling droplets coughed or sneezed into the air. Illness starts from 4 to 18 days after exposure. Because of the close and prolonged contact between students, epidemics of fifth disease are common in primary schools and academies. The illness Fifth disease rash sometimes begins with no illness at all but usually starts with 3 or 4 days of low grade fever and symptoms of a mild cold. This is followed in several days by the appearance of a bright red, raised rash which covers the cheeks, making them look as if they had been slapped. The area around the mouth is usually not involved. After another 1 to 3 days a pink, blotchy and often itchy rash appears on the upper part of the arms and legs, spreading to the trunk and buttocks. As it fades, the rash develops a lace-like or "net-like" appearance which can last for 5 to 10 days. Once cleared, it may reappear for several weeks or months if the skin becomes flushed from exercise, sunlight or a warm bath.

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