PEDIATRICS
DIAGNOSIS
Clinical diagnosis
TREATMENT
Supportive
COMPLICATIONS
■ Myocarditis may develop in 2% of patients who have hand-foot-mouth disease.
■ Meningoencephalitis is a rare complication.
■ Dehydration from decreased oral intake
ERYTHEMAINFECTIOSUM(FIFTHDISEASE)
■ Etiology: Infection with parvovirus B19.
■ Peak incidence: 4–15 years of age, most common during winter and spring
■ Transmission: Respiratory droplets
SYMPTOMS/EXAM
■ Prodrome (lasts 2–3 days): Mild coryza, headache, fever
■ Facial rash (bright red) develops 7 days later: “slapped cheeks”appearance
(see Figure 5.11)
DIAGNOSIS
Clinical diagnosis
FIGURE 5.11. Erythema infectiosum. (See also color insert.)
(Reproduced, with permission, from Kane KS-M, Ryder JB, Jonson RA, et al. Color Atlas &
Synopsis of Pediatric Dermatology.New York: McGraw-Hill, 2002:579.)
Erythema infectiousum (fifth
disease): “Slapped cheeks”
appearance