![]() ![]() Adults may also experience arthralgia and arthritis although these symptoms are less common in children. ![]() The rash usually resolves within 1 week but may occur for several weeks when the patient is exposed to heat, cold, exercise, or stress. Several days following initial erythema, a less distinct rash may appear on the extremities and trunk. Facial redness is similar to that which occurs when a child is slapped however, circumoral redness is absent. The characteristic erythema appears about 10 days later. Patients experience a mild, brief illness complaints include fever, malaise, headache, and pruritus. Transmission is thought to be via respiratory secretions from infected patients however, maternal-fetal transmission can occur and hemolytic disease of the newborn may result. ![]() The causative agent is human parvovirus B-19. A mild, moderately contagious disease seen most commonly in school-age children. ![]()
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