What finding is typical in a child with Fifth disease?

Prepare for USMLE Step 1 Pathology Exam with comprehensive quizzes, flashcards, and detailed explanations. Enhance your understanding and be exam-ready!

In the case of Fifth disease, which is caused by parvovirus B19, a characteristic finding is a "slapped cheek" appearance in children. This distinct red facial rash typically develops on the cheeks and is often accompanied by paleness around the mouth. The rash can then spread to the body, usually manifesting as a lacy or reticular rash on the extremities and trunk as it progresses.

This rash is usually non-itchy and often fades over time. The illness may begin with mild symptoms like fever or cold-like signs, but the hallmark of Fifth disease is the facial rash that emerges following the initial symptoms. Understanding this classic presentation helps differentiate Fifth disease from other viral illnesses that may produce rashes, ensuring appropriate recognition and management.

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