Fifth Disease - posted 4/18/2008

Dear parents/guardians:

There have been reported cases of fifth disease in the school. The disease is spread by contact with respiratory secretions. This is a viral illness with mild symptoms and a blotchy rash. The rash begins on the cheeks giving the appearance of “slapped cheeks”, and then spreads to the arms, legs and then the trunk of the body. This illness is sometimes associated with a fever and joint pain. The rash fades from the center outwards, giving it a lacy appearance. Over a period of 1-2 weeks, the rash disappears almost entirely; although recurrences may be brought on by exposure to sunlight, heat, exercise, fever or emotional stress for several weeks afterwards. It often affects preschoolers or school-age children during the spring.

The majority of adults seem to have antibodies to fifth disease (parvovirus B19) in their bodies. This indicates that most people have been exposed to the virus, and also suggests that many infections go unnoticed.

If a pregnant woman becomes infected with parvovirus, it can cause significant harm to her unborn baby. Any pregnant women who believe that she may have been in contact with a person who has parvovirus should consult with her physician.

There is no treatment usually required for fifth disease in children. If fever or joint discomfort is present then oral acetaminophen (such at Tylenol) may be given. Since this is a mild and generally benign viral infection, complete recovery can be expected.

If your child is displaying these symptoms without a fever, they are welcome to come to school.

If you have any questions or concerns, please feel free to contact the school or your family physician.

Bobbie Schmidt, RN
Clay Central-Everly School Nurse