Fifths Disease

Fifth Disease ( also known as Parvovirus B19)

Fifth Disease (Erythema Infectiosum) Fifth disease, also known as erythema infectiosum, is a mild rash illness that occurs most commonly in children. Fifth disease is caused by parvovirus B19, which infects the nose and throat and can be spread person-to-person.

Clusters or outbreaks of illness among children in school and early childhood programs are not unusual, typically beginning in late winter or early spring and continuing into June. Persons infected with the virus develop lifelong immunity.

Symptoms include muscle soreness, fever, and commonly, a “slapped-cheek” rash on the face and a lacy red rash on the trunk and limbs. The systemic symptoms generally occur a few days before the rash breaks out. Occasionally the rash may itch, and it may appear on and off for several weeks in response to changes in temperature (e.g., during bathing), sunlight, and emotional stress. In adults, the rash is either atypical or absent, but adults may experience joint pain, particularly in the hands and feet. In both children and adults, the disease is usually mild, and patients recover without problems.
Ref: School Health Manual, MDPH (8/24/24) https://massclearinghouse.ehs.state.ma.us/PROG-SCH/SH3001.html

Students can return to school once they are feeling better. Most people only know that they have fifth disease because they get the typical rash. By the time this happens, they are no longer contagious. Always check with the school nurse if you are not sure if they can go back to school.

Resource

Parvovirus B19 and Fifth Disease