February 25, 2003

Fifth Disease (erythema infectiosum) is a common childhood illness. The main symptom is a bright red rash on both cheeks that has a "slapped cheek" appearance. This can be followed by a pink "lacelike" rash on the arms, lets, torso, and buttocks. The rash may come and go for several weeks in response to changes in temperature (i.e. after baths and exercise) and sun exposure.

This is a very mild disease with either no symptoms or a slight runny nose and sore throat. This illness is most contagious one week before the rash appears. Once the rash has developed, the child is no longer contagious. Call your physician if:

Your child was on medication when the rash began
A fever over 102 degrees
The rash is itchy
Your child seems very sick

Fifth's disease is harmless in children, but it poses a slight risk to developing

fetuses. If you are pregnant and exposed to a child with Fifth Disease, or if you develop a Fifth Disease type rash, contact your obstetrician.

Although exposed children may come down with it in 10-24 days, isolation or

exclusion from school is not necessary, since the condition is so mild and no treatment is recommended.

Please call me with any questions at 898-0375.

Holly Harris, RN

School Nurse

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