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Erythema infectiosum

MedGen UID:
43142
•Concept ID:
C0085273
•
Disease or Syndrome
Synonym: Human parvovirus B19 infection
SNOMED CT: Primate erythroparvovirus 1 infection (34730008); Parvovirus B19 infection (34730008); Slapped cheek syndrome (34730008); Erythema infectiosum (34730008); Fifth disease (34730008); Erythema contagiosum (34730008)
 
Monarch Initiative: MONDO:0006544

Definition

A self-limited viral infectious disorder caused by the human parvovirus B19. It affects predominantly children and is characterized by the development of a bright red skin eruption in the cheeks. It is followed by a maculopapular skin eruption in the extremities which eventually fades into a lacey pattern. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVErythema infectiosum

Professional guidelines

PubMed

Identification and management of congenital parvovirus B19 infection.
Attwood LO, Holmes NE, Hui L
Prenat Diagn 2020 Dec;40(13):1722-1731. Epub 2020 Sep 30 doi: 10.1002/pd.5819. PMID: 32860469
Parvovirus B19 infection in pregnancy.
Crane J, Mundle W, Boucoiran I; MATERNAL FETAL MEDICINE COMMITTEE
J Obstet Gynaecol Can 2014 Dec;36(12):1107-1116. doi: 10.1016/S1701-2163(15)30390-X. PMID: 25668048
Parvovirus infection and its treatment.
Young NS
Clin Exp Immunol 1996 May;104 Suppl 1:26-30. PMID: 8625539

Recent clinical studies

Etiology

Hematologic Manifestations of Parvovirus B19 Infection.
Algwaiz G, Alharbi A, Alsehaim K, Alahmari A, El Fakih R, Aljurf M
Hematol Oncol Stem Cell Ther 2023 May 23;16(4):316-322. doi: 10.56875/2589-0646.1031. PMID: 37363985
Influence of anti-coronavirus disease 2019 policies on 10 pediatric infectious diseases.
Yamamoto-Kataoka S, Kataoka Y, Tochitani K, Miyakoshi C, Yamamoto Y
Pediatr Int 2022 Jan;64(1):e14958. doi: 10.1111/ped.14958. PMID: 34388287Free PMC Article
Myocarditis and inflammatory cardiomyopathy: current evidence and future directions.
Tschöpe C, Ammirati E, Bozkurt B, Caforio ALP, Cooper LT, Felix SB, Hare JM, Heidecker B, Heymans S, Hübner N, Kelle S, Klingel K, Maatz H, Parwani AS, Spillmann F, Starling RC, Tsutsui H, Seferovic P, Van Linthout S
Nat Rev Cardiol 2021 Mar;18(3):169-193. Epub 2020 Oct 12 doi: 10.1038/s41569-020-00435-x. PMID: 33046850Free PMC Article
Parvovirus B19 infection.
Kerr JR
Eur J Clin Microbiol Infect Dis 1996 Jan;15(1):10-29. doi: 10.1007/BF01586181. PMID: 8641299
Erythema infectiosum and pregnancy-related complications.
Levy M, Read SE
CMAJ 1990 Nov 1;143(9):849-58. PMID: 2171743Free PMC Article

Diagnosis

Annular infectious dermatoses.
Liu WT, Sun PL, Bramono K, Ezmerli M, Yang CC, Chen W
Clin Dermatol 2022 Sep-Oct;40(5):427-440. Epub 2021 Dec 31 doi: 10.1016/j.clindermatol.2021.12.006. PMID: 34974106
Parvovirus b19 infection in pregnancy - A review.
Gigi CE, Anumba DOC
Eur J Obstet Gynecol Reprod Biol 2021 Sep;264:358-362. Epub 2021 Jul 28 doi: 10.1016/j.ejogrb.2021.07.046. PMID: 34391051
Myocarditis and inflammatory cardiomyopathy: current evidence and future directions.
Tschöpe C, Ammirati E, Bozkurt B, Caforio ALP, Cooper LT, Felix SB, Hare JM, Heidecker B, Heymans S, Hübner N, Kelle S, Klingel K, Maatz H, Parwani AS, Spillmann F, Starling RC, Tsutsui H, Seferovic P, Van Linthout S
Nat Rev Cardiol 2021 Mar;18(3):169-193. Epub 2020 Oct 12 doi: 10.1038/s41569-020-00435-x. PMID: 33046850Free PMC Article
Common Skin Rashes in Children.
Allmon A, Deane K, Martin KL
Am Fam Physician 2015 Aug 1;92(3):211-6. PMID: 26280141
TORCH infections.
Neu N, Duchon J, Zachariah P
Clin Perinatol 2015 Mar;42(1):77-103, viii. Epub 2014 Dec 20 doi: 10.1016/j.clp.2014.11.001. PMID: 25677998

Therapy

Myocarditis and inflammatory cardiomyopathy: current evidence and future directions.
Tschöpe C, Ammirati E, Bozkurt B, Caforio ALP, Cooper LT, Felix SB, Hare JM, Heidecker B, Heymans S, Hübner N, Kelle S, Klingel K, Maatz H, Parwani AS, Spillmann F, Starling RC, Tsutsui H, Seferovic P, Van Linthout S
Nat Rev Cardiol 2021 Mar;18(3):169-193. Epub 2020 Oct 12 doi: 10.1038/s41569-020-00435-x. PMID: 33046850Free PMC Article
Fetal anemia.
Abbasi N, Johnson JA, Ryan G
Ultrasound Obstet Gynecol 2017 Aug;50(2):145-153. doi: 10.1002/uog.17555. PMID: 28782230
Viral Skin Diseases.
Ramdass P, Mullick S, Farber HF
Prim Care 2015 Dec;42(4):517-67. doi: 10.1016/j.pop.2015.08.006. PMID: 26612372
Common Skin Rashes in Children.
Allmon A, Deane K, Martin KL
Am Fam Physician 2015 Aug 1;92(3):211-6. PMID: 26280141
TORCH infections.
Neu N, Duchon J, Zachariah P
Clin Perinatol 2015 Mar;42(1):77-103, viii. Epub 2014 Dec 20 doi: 10.1016/j.clp.2014.11.001. PMID: 25677998

Prognosis

Myocarditis and inflammatory cardiomyopathy: current evidence and future directions.
Tschöpe C, Ammirati E, Bozkurt B, Caforio ALP, Cooper LT, Felix SB, Hare JM, Heidecker B, Heymans S, Hübner N, Kelle S, Klingel K, Maatz H, Parwani AS, Spillmann F, Starling RC, Tsutsui H, Seferovic P, Van Linthout S
Nat Rev Cardiol 2021 Mar;18(3):169-193. Epub 2020 Oct 12 doi: 10.1038/s41569-020-00435-x. PMID: 33046850Free PMC Article
Identification and management of congenital parvovirus B19 infection.
Attwood LO, Holmes NE, Hui L
Prenat Diagn 2020 Dec;40(13):1722-1731. Epub 2020 Sep 30 doi: 10.1002/pd.5819. PMID: 32860469
Common Skin Rashes in Children.
Allmon A, Deane K, Martin KL
Am Fam Physician 2015 Aug 1;92(3):211-6. PMID: 26280141
Erythema infectiosum.
Vafaie J, Schwartz RA
J Cutan Med Surg 2005 Aug;9(4):159-61. doi: 10.1007/s10227-005-0101-8. PMID: 16502203
Parvovirus B19 infections.
Vafaie J, Schwartz RA
Int J Dermatol 2004 Oct;43(10):747-9. doi: 10.1111/j.1365-4632.2004.02413.x. PMID: 15485533

Clinical prediction guides

Hematologic Manifestations of Parvovirus B19 Infection.
Algwaiz G, Alharbi A, Alsehaim K, Alahmari A, El Fakih R, Aljurf M
Hematol Oncol Stem Cell Ther 2023 May 23;16(4):316-322. doi: 10.56875/2589-0646.1031. PMID: 37363985
Parvovirus B19 infection in pregnancy.
Crane J, Mundle W, Boucoiran I; MATERNAL FETAL MEDICINE COMMITTEE
J Obstet Gynaecol Can 2014 Dec;36(12):1107-1116. doi: 10.1016/S1701-2163(15)30390-X. PMID: 25668048
Quantitation of human parvovirus B19 DNA in erythema infectiosum and aplastic crisis.
Ishikawa A, Yoto Y, Tsugawa T, Tsutsumi H
J Med Virol 2014 Dec;86(12):2102-6. Epub 2014 Jun 24 doi: 10.1002/jmv.23930. PMID: 24962467
Epidemiological and clinical features of erythema infectiosum in children in Novi Sad from 2000 to 2009.
Prćić S, Gajinov Z, Zrnić B, Radulović A, Matić M, Djuran V
Vojnosanit Pregl 2013 Dec;70(12):1081-4. doi: 10.2298/vsp110607026p. PMID: 24450250
Long-term neurodevelopmental outcome after intrauterine transfusion for fetal anemia.
van Klink JM, Koopman HM, Oepkes D, Walther FJ, Lopriore E
Early Hum Dev 2011 Sep;87(9):589-93. Epub 2011 Aug 9 doi: 10.1016/j.earlhumdev.2011.07.003. PMID: 21831544

Recent systematic reviews

Mortality Rates and autopsy findings in fat embolism syndrome complicating sickle cell disease.
Samaee S, Samaee S, Mihalca D, Fitzgerald L, Ahmed A, Hall J, Tsitsikas DA
J Clin Pathol 2023 Jul;76(7):497-500. Epub 2023 Feb 27 doi: 10.1136/jcp-2023-208763. PMID: 36849230
Neurological Manifestations Associated with Parvovirus B19 Infection in Immunocompetent Children: Case Series and Systematic Review.
Monteiro VS, Baía-da-Silva DC, Silva VA, Pivoto João GA, Marinho EPM, Cubas-Vega NC, Val FFA, Perez-Gomez AS, Monte RL, Mota A, Lacerda MVG, Souza Bastos M
J Trop Pediatr 2021 Aug 27;67(4) doi: 10.1093/tropej/fmab078. PMID: 34545404
Are Daycare Workers at a Higher Risk of Parvovirus B19 Infection? A Systematic Review and Meta-Analysis.
Romero Starke K, Kofahl M, Freiberg A, Schubert M, Groß ML, Schmauder S, Hegewald J, Kämpf D, Stranzinger J, Nienhaus A, Seidler A
Int J Environ Res Public Health 2019 Apr 17;16(8) doi: 10.3390/ijerph16081392. PMID: 30999694Free PMC Article
Outcome of fetuses with congenital parvovirus B19 infection: systematic review and meta-analysis.
Bascietto F, Liberati M, Murgano D, Buca D, Iacovelli A, Flacco ME, Manzoli L, Familiari A, Scambia G, D'Antonio F
Ultrasound Obstet Gynecol 2018 Nov;52(5):569-576. doi: 10.1002/uog.19092. PMID: 29785793

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