Slapped Cheek: A Parent's Guide to Fifth Disease

Slapped cheek disease, also known as fifth disease or erythema infectiosum, is a common childhood illness caused by the human parvovirus B19. It's characterized by a bright red rash on the cheeks, resembling a "slapped cheek" appearance, hence the nickname. This guide will equip you with the knowledge to recognize slapped cheek in your child, understand the symptoms, and know when to seek medical attention.

The Slapped Cheeks: Recognizing the Telltale Signs

Parvovirus B19 is spread through respiratory droplets from coughs and sneezes of an infected person. Here's what to watch out for:

• Symptoms:

• Early symptoms: These may include low-grade fever, mild headache, runny nose, and fatigue for a few days. These initial symptoms can be easily mistaken for the common cold.

• The "slapped cheeks" rash: A bright red, slapped-cheek rash appears on both cheeks about 4-7 days after the initial symptoms. The rash may also appear on the arms, legs, and torso in a lacy pattern, often described as "lacey gloves and socks."

• Joint pain or stiffness: In some cases, particularly in adults, mild joint pain and stiffness may occur, especially in the hands, wrists, knees, and ankles.

Progression of the Rash:  The slapped cheek rash typically fades within a week, although the lacy rash on the body may take a few weeks to disappear completely, especially with exposure to sunlight, hot showers, or exercise.

Who Gets Slapped Cheek?

Slapped cheek disease is most common in young children, particularly between the ages of 4 and 10. However, it can affect people of all ages.

When to See a Doctor:

Slapped cheek disease is usually a mild illness that resolves on its own. However, in some cases, seeking medical attention is recommended:

• Pregnant women: If you're pregnant and suspect you have slapped cheek, consult a doctor. While the risk to a healthy fetus is generally low, parvovirus B19 can cause complications in some pregnancies.

• People with weakened immune systems: If you have a weakened immune system, slapped cheek may require medical monitoring.

• Severe joint pain: If you experience severe or persistent joint pain, consult your doctor.

Treating Slapped Cheek: Comfort Measures and Rest

There's no specific treatment for slapped cheek itself. The focus is on managing symptoms and making your child feel better:

• Plenty of fluids: Encourage fluids to prevent dehydration, especially if a sore throat is present.

• Rest: Encourage plenty of rest to allow the body to recover.

• Pain relievers: Over-the-counter pain relievers like acetaminophen (Tylenol) or ibuprofen (Advil) can help manage fever and discomfort (always follow dosage instructions for your child's age).

Preventing the Spread of Slapped Cheek

Parvovirus B19 is contagious through respiratory droplets. Here are some tips to prevent the spread:

• Frequent handwashing: Proper handwashing with soap and water is essential, especially after contact with a sick person or bodily fluids (mucus, coughs, sneezes).

• Good cough etiquette: Teach your child to cough or sneeze into a tissue and then discard the tissue immediately.

• Avoid close contact: Encourage your child to avoid close contact with people who are sick.

The 2 Sick 4 School App Can Help!

Concerned about slapped cheek disease? The 2 Sick 4 School App can be your resource for all things related to childhood illnesses! Download the app today (available on the Apple App Store: link to the 2 Sick 4 School App on the Apple App Store: 2 Sick 4 School on the App Store (apple.com)) and find valuable information on slapped cheek disease, including:

• Detailed explanation of symptoms, causes, and transmission of slapped cheek disease

• Information on the risk of parvovirus B19 infection during pregnancy

• Importance of good hygiene practices to prevent the spread of slapped cheek disease

• When to seek medical attention for slapped cheek

Remember, slapped cheek disease is usually a mild illness that resolves on its own. Most people recover completely within a few weeks.