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PDF MINIMUM EXCLUSION PERIOD - Health Service Executive The cheek rash usually fades within 2 weeks. Affected children may remain if they are well. Infection in the first half of pregnancy can cause fetal anaemia with hydrops fetalis (abnormal fluid accumulation in the fetus). 2023 Oxbridge Solutions Ltd. Any distribution or duplication of the information In adults, its symptoms can be long-lasting. doi:10.1002/rmv.1782. Page last reviewed: 11 November 2021 For healthy children who have the typical rash of slapped cheek syndrome, advise that: The child should no longer be infectious once the rash develops, and it is not necessary for the child to stay off school or nursery. Can a child go to school with slapped cheek syndrome? In adults,these symptoms are oftenaccompanied byjoint pain and stiffness, whichmay continue for several weeks or even months after the other symptoms have passed. View our Facebook page - (This will open in a new window). You can become infected by: Someone with slapped cheek syndrome is infectious during theperiod before the rash develops. The virus is transmitted by contact with infected respiratory secretions. Slapped cheek disease most commonly occurs in children aged 3-15 years but anyone can be affected. No specific treatment is required for uncomplicated infection. Health information, advice, support and services. To reduce the risk of spreading the virus: wash your hands often with water and soap use tissues to trap germs when you cough or sneeze bin used tissues as quickly as possible Note: pet dogs or cats can be immunised against parvovirus. Outbreaks occur during winter and spring, with epidemics occurring every 34 years. NHS 24 - Opens in new browser window, Last updated: The skin is raised and can be itchy. Slapped cheek can spread rapidly through centres and is most common in winter and spring. Identification of erythema infectiosum Clinical features Asymptomatic infection with human parvovirus B19 is common (20-25 per cent). Specialist advice should be sought if a patient with immunodeficiency or a blood disorder contracts parvovirus infection. It is a single-stranded DNA virus that targets red cells in the bone marrow. To reduce the risk of spreading the virus: You do not have to stay off work or school after the rash appears. The rash, erythema infectiosum, appears a few days later with firm red cheeks, which feel burning hot. Comparison of the current antibody status against prenatal screening serology for parvovirus is often useful in pregnancy.