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Fifths Disease

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The only thing I know about it is that with my kids having a bone marrow

failure syndrome fifths disease (Parvo B19) can cause an Aplastic anemia

crisis for them-one from which they may or may not recover. I do not know

exactly how it affects kids with other immune deficiencies-I do know that

immune compromised folks can get it again and again..

We had to avoid piano lessons at the school where the boys took piano b/c of

outbreaks.

~Pattie~

" What matters is not great deeds, but great love. " ~ St. Therese of Lisieux

Family website: www.shwachman.50megs.com

_____

From: [mailto: ] On Behalf Of

osdbmom

Sent: Tuesday, May 02, 2006 11:35 PM

Subject: fifths disease

so this is running rampant in school right now.......esp in the kdg

rooms. the letter than came home about it says that it is no longer

contagious once the rash appears(though one friend said her dr told

her to keep her son home until the rash cleared) and its fine to be in

school. I have to admit it makes me nervous to see Donovan sitting at

a table full of red, itchey kids. I WANT to beleive they are not

contagious..........

Anyway, the letter also stated that it is only dangerous to pregnant

woment and children with immune def of any kind........so HOW MUCH

more dangerous is it? Should I be more concerned about this than the

other parents?

Olivia had this as a baby, and it wasnt the biggest deal in the

world...course that was before I had any kids with asthma, or PID, or

anything like that. NOw every illness seems like it takes on a bigger

meaning to me......and Olivia had been sick, with head cold type

symptoms, now Savannah and brennan have it........and i wonder if this

could be the precursor to Fifths................there isnt any way to

tell unless the rash breaks out, though, is there?

valarie

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Valarie,

There are some potentially serious complications of Fifths disease if your

child is chronically neutropenic. Fifth disease can also be asymptomatic in

neutropenic patients---but still have negative consequences. If neutropenia is

an issue, I would check in with your immuno/hem/MD and get further instructions.

If PID is the only issue, you may still want to inquire generically with your

immuno to make sure this is an ok place for your child to be. Fifths disease is

not at all serious for most kiddoes, so I wouldn't panic at all....but I would

look for mor info.

It would probably make me uncomfortable as well----the other parents are not

as familiar with your situation as you are.

Fisher

mom of Calvin, 5yo, XLA

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Usually there is no precursor to Fifth's. Sometimes there is a mild

fever, rarely some joint pain. Otherwise it just starts with the

intense slapped-cheek type rash and then progresses to a lacy rash

arms & legs and then to other areas of the body. The intitial rash

lasts several days to a week, but can continue to recur for weeks,

even months. Recurrence is usually due to exposure to heat (bath,

water, sun).

The letter you received was right that most cases are contagious

prior to the onset of the rash. Unfortunately, the incubation

period is usually 4-14 days, but can be as long as 20 days. So I

guess you've got a little while to keep an eye on you kids!

If your PIDer does develop symptoms it would definitely warrant a

call to the immuno. Complications from Fifth's are rare, but are

found in pregnant women and immune compromised individuals. Usually

no treatment is needed, but for chronic infection in PIDers,

immunoglobin may be be effective.

-Rogena (Mom to 4 boys, including Cole -Partial IgA Def, GERD,

possible Celiac)

>

> so this is running rampant in school right now.......esp in the kdg

> rooms. the letter than came home about it says that it is no longer

> contagious once the rash appears(though one friend said her dr told

> her to keep her son home until the rash cleared) and its fine to

be in

> school. I have to admit it makes me nervous to see Donovan sitting

at

> a table full of red, itchey kids. I WANT to beleive they are not

> contagious..........

> Anyway, the letter also stated that it is only dangerous to

pregnant

> woment and children with immune def of any kind........so HOW MUCH

> more dangerous is it? Should I be more concerned about this than

the

> other parents?

> Olivia had this as a baby, and it wasnt the biggest deal in the

> world...course that was before I had any kids with asthma, or PID,

or

> anything like that. NOw every illness seems like it takes on a

bigger

> meaning to me......and Olivia had been sick, with head cold type

> symptoms, now Savannah and brennan have it........and i wonder if

this

> could be the precursor to Fifths................there isnt any way

to

> tell unless the rash breaks out, though, is there?

> valarie

>

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