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Parvovirus B19 infection in children with acute illness and rash
Chulabhorn Pruksachatkunakorn1, Nisarat Apichartpiyakul, Kittika Kanjanaratanakorn
1Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. cpruksac@mail.med.cmu.ac.th
Insights
Parvovirus B19, a virus causing various skin conditions, was studied in 110 children with acute illness and rash. Recent parvovirus B19 infection was found in only three patients, indicating it
Area of Science:
- Pediatric infectious diseases
- Dermatology
- Virology
Background:
- Parvovirus B19 is linked to several cutaneous conditions like erythema infectiosum and papular purpuric gloves-and-socks syndrome.
- It is also associated with dermatologic conditions such as systemic lupus erythematosus.
Purpose of the Study:
- To investigate the prevalence of parvovirus B19 infection in children presenting with acute illness and rash.
- To determine the role of parvovirus B19 as a cause of acute rash in pediatric patients.
Main Methods:
- A prospective study was conducted on 110 children with acute illness and rash at a university teaching hospital.
- Sera were analyzed for immunoglobulin M and immunoglobulin G antibodies against human parvovirus B19 using enzyme-linked immunosorbent assay (ELISA).
- Paired and single serum samples were collected and tested.
Main Results:
- Out of 110 children, three patients with paired serum samples showed recent parvovirus B19 infection, presenting with erythema infectiosum, urticaria, and lupus erythematosus.
- Immunoglobulin G antibodies against parvovirus B19 were detected in 28.2% of 103 tested children.
- The overall incidence of recent parvovirus B19 infection in children with acute illness and rash was low.
Conclusions:
- Parvovirus B19 is not a common cause of acute illness and rash in the studied pediatric population.
- Further research may be needed to understand the full spectrum of parvovirus B19-associated dermatologic manifestations in children.
Abstract:
Parvovirus B19 is responsible for a variety of cutaneous diseases, including erythema infectiosum and papular purpuric gloves-and-socks syndrome. It is also associated with other dermatologic diseases, such as systemic lupus erythematosus. To study the prevalence of parvovirus B19 infection in children with acute illness and rash, we did a prospective study of 110 children at the Chiang Mai University teaching hospital from January 2001 to November 2003. Sera from these patients were analyzed for immunoglobulin M and immunoglobulin G antibodies against human parvovirus B19 using enzyme-linked immunosorbent assay techniques. From a total of 110 patients with acute illness and rash, there were paired serum samples for 90 patients and single serum sample for 20 patients. For those with paired serum samples, there were three patients with recent parvovirus B19 infection that presented with erythema infectiosum, urticaria, and lupus erythematosus, respectively. Immunoglobulin G antibodies were tested in serum samples of 103 children; 28.2% were positive. These data indicate that parvovirus B19 is not a common cause of acute illness and rash in children.
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