Understanding Fifth Disease (Parvovirus B19, “Slapped cheek” rash)
What is it?
A common viral illness in kids (ages 4–12) caused by Parvovirus B19. It often starts with red cheeks followed by a lacy rash on the body. Most children feel fine or have only mild cold symptoms.
Common Symptoms
- Bright red cheeks ("slapped cheek") for 1–3 days
- Lacy, net-like rash on shoulders, thighs, chest, or belly
- Mild cold symptoms: runny nose, low-grade fever (<102°F), tiredness
- Occasional joint pain (more in older kids/teens)
- Rash usually not itchy or painful
When to Manage at Home
✅ You can manage your child's Fifth Disease at home when:
- Your child feels well overall
- Rash is not painful or spreading rapidly
- Fever is low or goes away quickly
- No pregnant household contacts or special medical conditions
How to Treat at Home
🏠 Home remedies for fifth disease:
- Fever >102°F? Use Tylenol (acetaminophen) or Ibuprofen.
- Keep your child hydrated
- Encourage rest
- Handwashing is key—virus spreads before rash appears
- Safe to return to school/daycare once rash appears
Safe Medications
- Tylenol or Ibuprofen for fever or discomfort
- No need for antibiotics—this is a viral illness
When to Contact Poppins
📱 Contact us again if:
- Fever >102°F that lasts more than 3 days
- Rash is painful, blistering, or limiting movement
- Your child seems very pale, tired, or is breathing fast
- Concern for pregnancy exposure, immunocompromise, or sickle cell disease
When to Visit Your Pediatrician
🩺 Go to an in-person appointment for:
- Rapid breathing, extreme fatigue, or persistent high fever
- If your child has underlying medical conditions (e.g. anemia, immune issues)
- You’re pregnant and may have been exposed (visit your OB)
When to Go to the ER
🚨 Seek immediate emergency care if your child is:
- Lethargic, unresponsive, or having difficulty breathing
If your gut tells you something is wrong, don't hesitate to reach out. Need help? Reconnect with our on-demand team of medical staff available 24/7.
