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Erythema Infectiosum: A Narrative Review.

Author: BarankinBenjamin, HonKam Lun, LamJoseph M, LeongKin Fon, LeungAlexander K C

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.

Overview

This review familiarizes physicians with the wide spectrum of clinical manifestations and complications of erythema infectiosum associated with parvovirus B19 infection. Erythema infectiosum is a common exanthematous illness of childhood caused by parvovirus B19. The incubation period is usually 4 to 14 days. Prodromal symptoms are usually mild and consist of low-grade fever, headache, malaise, and myalgia. The rash typically evolves in 3 stages. The initial stage is an erythematous rash on the cheeks, with a characteristic 'slapped cheek' appearance. The rash spreads concurrently or quickly to the trunk, extremities, and buttocks as diffuse macular erythema. The rash tends to be more intense on extensor surfaces. The palms and soles are typically spared. Central clearing of the rash results in a characteristic lacy or reticulated appearance. The rash usually resolves spontaneously within three weeks without sequelae. The third stage is characterized by evanescence and recrudescence. In adults, the rash is less pronounced than that in children and is often atypical. Only approximately 20% of affected adults have an erythematous rash on the face. In adults, the rash is more frequently found on the legs, followed by the trunk, and arms. A reticulated or lacy erythema is noted in 80% of cases which helps to distinguish erythema infectiosum from other exanthems. Pruritus is noted in approximately 50% of cases. The diagnosis is mainly clinical. Complications include arthritis, arthralgia, and transient aplastic crisis. In most cases, treatment is symptomatic and supportive. When parvovirus B19 infection occurs in pregnant women, hydrops fetalis becomes a real concern.
Paper Details　
Original Abstract of the Article :
BACKGROUND: Erythema infectiosum occurs worldwide. School-aged children are most often affected. Since the diagnosis is mainly clinical, physicians should be well-versed in the clinical manifestations of erythema infectiosum to avoid misdiagnosis, unnecessary investigations, and mismanagement of the...See full text at original site
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引用元：
https://doi.org/10.2174/1573396320666230428104619

データ提供：米国国立医学図書館（NLM）

Erythema Infectiosum: A Common Childhood Illness

This narrative review provides a comprehensive overview of erythema infectiosum, a common childhood illness caused by parvovirus B19. Imagine a desert landscape with various colorful wildflowers blooming - each representing a different symptom associated with this viral infection. The review highlights the diverse clinical manifestations and potential complications of erythema infectiosum, emphasizing the importance of accurate diagnosis and management.

Understanding the Faces of Erythema Infectiosum

The review describes the characteristic 'slapped cheek' appearance of the facial rash, which is a hallmark of erythema infectiosum. It also discusses the lacy or reticulated rash that often spreads to the trunk and extremities. This detailed description helps clinicians distinguish erythema infectiosum from other exanthems.

Navigating the Desert of Viral Infections

This review emphasizes the importance of being aware of the potential complications of erythema infectiosum, such as arthritis and transient aplastic crisis. It also highlights the potential risks associated with parvovirus B19 infection during pregnancy. By understanding the intricacies of this infection, clinicians can effectively manage and mitigate potential complications.

Dr. Camel's Conclusion

This review offers a comprehensive understanding of erythema infectiosum, a common childhood illness caused by parvovirus B19. It's like exploring a desert landscape, appreciating its diverse flora and understanding the potential hazards. This review provides valuable insights for clinicians, helping them to accurately diagnose and effectively manage this common childhood infection.

Date :
  1. Date Completed n.d.
  2. Date Revised 2023-05-03
Further Info :

Pubmed ID

37132144

DOI: Digital Object Identifier

10.2174/1573396320666230428104619

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English

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