Dear Dr. Lindeman,
What is "fifth disease"?
Fifth Disease is a common viral illness with a terrible name that is completely benign to all but the unborn babies of pregnant women (see below). Fifth disease causes a rash that is often called the "slapped cheek" rash, because it gives a bright red or rosy appearance to the cheeks for one to three days. The cheek rash is often followed by a lacy rash on the arms and legs.
There is usually no fever, or only a low-grade fever, as well as slight runny nose and sore throat. The lacy rash may come and go for weeks after the illness.
Home Treatment
No treatment is necessary. The rash itself causes no symptoms. The child can pass fifth disease to others during the week before the rash begins. Therefore, if your child is exposed to a diagnosed case of the illness, he/she should avoid contact with pregnant women (see below if you are the child's mother, and you're pregnant!)
Pregnant Women Exposed to Fifth Disease
These women should see their obstetrician. The doctor will probably get a test to see if the mother has already had fifth disease and is therefore immune. Some developing babies infected with fifth disease develop severe anemia and 2% of these may die. There are no other birth defects associated with fifth disease.
Call during call-hour at 508-655-9699 if
- The rash becomes itchy
- Your child develps fever over 102° F
- You have other questions or concerns
Lincoln Medical Building
61 Lincoln Street, Suite 210
Framingham, MA 01702
(508) 655-9699
(508) 655-2984 fax
Updated: 5/22/03
