Causes

Fifth disease is very contagious. It spreads through saliva by coughing, sneezing, or skin-to-skin contact. Although the rash usually only lasts about 5 days, it can recur a number of times over several weeks if the child is exposed to sunlight, heat, exercise, fever, or stress.

Symptoms

• Fifth disease usually starts with a bright red rash on the cheeks that looks as if the child has been slapped. The rash then spreads to the arms, legs, and body. It fades over 1 or 2 weeks and may have a “lacy” look as it fades.
• There usually is no fever with fifth disease.
• There may be mild joint pains or mild headache.

Self-Care

• Encourage extra fluids.
• For joint pain or a headache, you may give your child acetaminophen. Do not give aspirin.