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Soltani S, Zakeri A, Tabibzadeh A, Zandi M, Ershadi E, Akhavan Rezayat S, Khaseb S, Zakeri AM, Ashtar Nakhaei M, Afzali S, Farahani A. A literature review on the parvovirus B19 infection in sickle cell anemia and β-thalassemia patients. Trop Med Health 2020; 48:96. [PMID: 33292852 PMCID: PMC7709306 DOI: 10.1186/s41182-020-00284-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Accepted: 11/09/2020] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Parvovirus B19 is the causative agent for erythema infectiosum, and also as a potentially life-threatening infectious agent, it is mainly presented in high erythrocyte turnover patients. Sickle cell disease (SCD) is an inherited monogenic hematological disorder resulting from the mutations in the hemoglobin β-chain gene. Thalassemia is a hereditary hematological syndrome that happens in consequence of deficiencies in the production of one or more globin chains. We summarize current knowledge about the prevalence rates of the parvovirus B19 infection in sickle cell anemia and thalassemia patients. METHODS Several online databases were searched including, Scopus, EMBASE, Web of Science, Google Scholar, and PubMed, which were performed amidst 2009-2019 by using distinct keywords: "Thalassemia," "Parvovirus," "Anemia," "Sickle cell anemia," "parvoviridae," "parvoviridae infection," and "parvovirus B19." RESULTS Search results indicated 4 and 7 studies for the prevalence of the parvovirus B19 in β-thalassemia and SCD, respectively. Among the β-thalassemia patients, the B19V seroprevalence for IgG and IgM were ranged from 18.2-81% and 14.5-41.1%, respectively; meanwhile, B19V DNA positively results was 4-15.3%. Moreover, in the SCD group, the extent of B19V IgG was varied from 37.6 to 65.9% and that of IgM was in a range of 2.9-30%, and the DNA detection rate was 4-54%. CONCLUSION B19V seroprevalence changes in several conditions including, different epidemiological features, socio-economic status, and overpopulation. Age can expand the incidence of anti-B19V IgG/IgM in SCD and beta-thalassemia patients. Reinfection and diverse genotypes are relevant factors in the seroprevalence of B19v. The patients' immunological-hematological station and higher abundance of transfusions can affect the B19V seroprevalence in SCD and beta-thalassemia group. Further investigations in this field could be suggested to better understand the virus distribution in this susceptible population of patients.
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Affiliation(s)
- Saber Soltani
- Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Armin Zakeri
- Department of Hematology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Alireza Tabibzadeh
- Department of Virology, Iran University of Medical Sciences, Tehran, Iran
| | - Milad Zandi
- Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Elham Ershadi
- Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Sara Akhavan Rezayat
- Department of Health Care Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Sanaz Khaseb
- Department of Hematology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Amir Mohammad Zakeri
- Pediatric Surgery Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammadvala Ashtar Nakhaei
- Department of Cellular and Molecular Biology, Faculty of Life Sciences and Biotechnology, Shahid Beheshti University G.C, Tehran, Iran
| | - Shervin Afzali
- Department of Cellular and Molecular Biology, Faculty of Life Sciences and Biotechnology, Shahid Beheshti University G.C, Tehran, Iran
| | - Abbas Farahani
- Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
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Nishimura Y, Ueda T. Papular purpuric gloves and socks syndrome in a 72-year old woman. IDCases 2020; 20:e00752. [PMID: 32395426 PMCID: PMC7210422 DOI: 10.1016/j.idcr.2020.e00752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Revised: 03/28/2020] [Accepted: 03/28/2020] [Indexed: 11/19/2022] Open
Abstract
A 72-year-old woman presented with fever, rash and limb pain. Physical examination revealed systemic non-pitting edema, and painful edematous erythema on both forearms and thighs, and non-palpable petechia on her legs. These manifestations were suggestive of papular purpuric gloves and socks syndrome (PPGSS). Her serum anti-parvovirus B19 immunoglobulin M (IgM) was positive. To our knowledge, this is the oldest individual with typical parvovirus 19-associated PPGSS reported to date.
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Management guidelines for pregnant health care workers exposed to infectious dermatoses. Int J Womens Dermatol 2020; 6:142-151. [PMID: 32313827 PMCID: PMC7165119 DOI: 10.1016/j.ijwd.2020.04.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Revised: 04/14/2020] [Accepted: 04/14/2020] [Indexed: 01/08/2023] Open
Abstract
Exanthematous diseases are frequently of infectious origin, posing risks, especially for pregnant health care workers (HCWs) who treat them. The shift from cell-mediated (Th1 cytokine profile) to humoral (Th2 cytokine profile) immunity during pregnancy can influence the mother’s susceptibility to infection and lead to complications for both mother and fetus. The potential for vertical transmission must be considered when evaluating the risks for pregnant HCWs treating infected patients because fetal infection can often have devastating consequences. Given the high proportion of women of childbearing age among HCWs, the pregnancy-related risks of exposure to infectious diseases are an important topic in both patient care and occupational health. Contagious patients with cutaneous manifestations often present to dermatology or pediatric clinics, where female providers are particularly prevalent; a growing number of these physicians are female. Unfortunately, the risks of infection for pregnant HCWs are not well defined. To our knowledge, there is limited guidance on safe practices for pregnant HCWs who encounter infectious dermatologic diseases. In this article, we review several infectious exanthems, their transmissibility to pregnant women, the likelihood of vertical transmission, and the potential consequences of infection for the mother and fetus. Additionally, we discuss recommendations with respect to avoidance, contact, and respiratory precautions, as well as the need for treatment after exposure.
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Admani S, Jinna S, Friedlander SF, Sloan B. Cutaneous infectious diseases: Kids are not just little people. Clin Dermatol 2015; 33:657-71. [PMID: 26686017 DOI: 10.1016/j.clindermatol.2015.09.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
The changes in immune response that occur with age play a significant role in disease presentation and patient management. Evolution of the innate and adaptive immune systems throughout life, influenced partly by hormonal changes associated with puberty, plays a role in the differences between pediatric and adult response to disease. We review a series of manifestations of dermatologic infectious diseases spanning bacterial, viral, and fungal origins that can be seen in both pediatric and adult age groups and highlight similarities and differences in presentation and disease course. Therapeutic options are also discussed for these infectious diseases, with particular attention to variations in management between these population subgroups, given differences in pharmacokinetics and side effect profiles.
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Affiliation(s)
- Shehla Admani
- Department of Pediatric Dermatology, University of California at San Diego School of Medicine, San Diego, CA
| | - Sphoorthi Jinna
- Department of Dermatology, University of Connecticut Health Sciences, 21 South Road, Farmington, CT, 06032
| | - Sheila Fallon Friedlander
- Fellowship Training Program, Rady Children's Hospital, Department of Clinical Pediatrics & Medicine, University of California at San Diego School of Medicine, 8010 Frost Street, Suite 602, San Diego, CA 92123
| | - Brett Sloan
- Department of Dermatology, University of Connecticut Health Sciences, 21 South Road, Farmington, CT, 06032.
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Yaguchi D, Marui N, Matsuo M. Three Adult Cases of HPV-B19 Infection with Concomitant Leukopenia and Low Platelet Counts. CLINICAL MEDICINE INSIGHTS-CASE REPORTS 2015; 8:19-22. [PMID: 25780346 PMCID: PMC4345940 DOI: 10.4137/ccrep.s18085] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2014] [Revised: 11/30/2014] [Accepted: 12/08/2014] [Indexed: 11/11/2022]
Abstract
We encountered three adult patients with flu-like symptoms diagnosed with human parvovirus B19 (HPV-B19) infection. Blood serum analysis also revealed leukopenia, with white blood cell counts (WBCs) of 1,000–2,000/mL and low platelet counts of 89–150 × 109/L. Typical skin rash was absent in one patient. Bone marrow examination of another patient showed hypoplastic marrow with <5% blast cells. All patients recovered without administration of granulocyte colony-stimulating factor (G-CSF). Therefore, HPV-B19 infection with leukopenia should be considered in adult patients with leukopenia during erythema infectiosum epidemics, even if typical clinical findings (ie, skin rash) are absent. Further, the fact that three cases were observed over the stated time period at our hospital, which is located in Nagoya city, showed a transition to a slightly higher level of incidence than the annual average.
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Affiliation(s)
- Daizo Yaguchi
- Department of Respiratory Medicine, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan. ; Department of Respiratory Medicine, Chubu Rosai Hospital, Nagoya, Aichi, Japan
| | - Nobuyuki Marui
- Department of Internal Medicine, Chubu Rosai Hospital, Nagoya, Aichi, Japan
| | - Masaki Matsuo
- Department of Respiratory Medicine, Chubu Rosai Hospital, Nagoya, Aichi, Japan
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Bandera AR, Arenal MM, Vorlicka K, Bravo-Burguilllos ER, Vega DM, Díaz-Arcaya CV. Acute Parvovirus B19 Infection in Adults: A Retrospective Study of 49 Cases. ACTAS DERMO-SIFILIOGRAFICAS 2015. [DOI: 10.1016/j.adengl.2014.11.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Ozaydin V, Eceviz A, Sari Dogan F, Dogan A. An Adult Patient who Presented to Emergency Service with a Papular Purpuric Gloves and Socks Syndrome: A Case Report. Turk J Emerg Med 2014; 14:179-81. [PMID: 27437515 PMCID: PMC4909971 DOI: 10.5505/1304.7361.2014.92259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2013] [Accepted: 07/11/2014] [Indexed: 11/04/2022] Open
Abstract
Rash diseases characterized macules, papules, vesicles and pustules. Many viral infection associated with generalized morbilliform skin rash. Papular purpuric gloves and socks syndrome (PPGSS) is a clinical situation caused by human parvovirus B19. PPGSS occurs at hands and foot through lesions exhibiting symmetrical gloves and socks-like erythematous dispersion. Concomitantly, there are lesions and fever at mouth. A 35 years old woman applied with papular symmetrical eruption at hands and foot, oral lesions and fever. There existed symmetrical rashes at hands and foot and lesions in mouth during her physical examination. Parvovirus İg M positive were determined. The patient who was administered symptomatic treatment was externalized.
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Affiliation(s)
- Vehbi Ozaydin
- Department of Emergency Medicine, Medeniyet Universty Göztepe Training and Research Hospital, Istanbul
| | - Alev Eceviz
- Department of Emergency Medicine, Medeniyet Universty Göztepe Training and Research Hospital, Istanbul
| | - Fatma Sari Dogan
- Department of Emergency Medicine, Medeniyet Universty Göztepe Training and Research Hospital, Istanbul
| | - Arzu Dogan
- Department of Emergency Medicine, Medeniyet Universty Göztepe Training and Research Hospital, Istanbul
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Miguélez A, Dueñas J, Hervás D, Hervás JA, Salvá F, Martín-Santiago A. Flagellate erythema in parvovirus B19 infection. Int J Dermatol 2014; 53:e583-5. [DOI: 10.1111/ijd.12557] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
- Ana Miguélez
- Department of Dermatology; University Hospital of La Princesa; Madrid Spain
| | - Joaquín Dueñas
- Department of Pediatrics; Son Espases University Hospital; Palma de Mallorca Spain
| | - Daniel Hervás
- University Institute of Health Sciences (IUNICS); University of the Balearic Islands; Palma de Mallorca Spain
| | - Juan A. Hervás
- University Institute of Health Sciences (IUNICS); University of the Balearic Islands; Palma de Mallorca Spain
| | - Francisco Salvá
- Department of Microbiology; Son Espases University Hospital; Palma de Mallorca Spain
| | - Ana Martín-Santiago
- Department of Dermatology; Son Espases University Hospital; Palma de Mallorca Spain
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Rodríguez Bandera AI, Mayor Arenal M, Vorlicka K, Ruiz Bravo-Burguilllos E, Montero Vega D, Vidaurrázaga Díaz-Arcaya C. Acute parvovirus B19 infection in adults: a retrospective study of 49 cases. ACTAS DERMO-SIFILIOGRAFICAS 2014; 106:44-50. [PMID: 25109767 DOI: 10.1016/j.ad.2014.06.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2014] [Revised: 05/31/2014] [Accepted: 06/13/2014] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE Our aim was to describe the epidemiologic, clinical, and laboratory characteristics of acute parvovirus B19 infection in adults. MATERIAL AND METHODS This study describes all cases of acute parvovirus B19 infection in patients older than 18 years of age who were treated at Hospital Universitario La Paz in Madrid, Spain, in 2012. RESULTS Forty-nine adults were treated for acute parvovirus B19 infection. Most were young women who were infected in the spring or early summer. In over half the cases skin lesions were key diagnostic signs.We saw the full range of types of rash of purplish exanthems that were fairly generalized; vasculitis was relatively common (in >18%). Mild or moderate abnormalities in blood counts and indicators of liver dysfunction resolved spontaneously in all but 2 immunocompromised patients, who developed chronic anemia. CONCLUSIONS This is the largest case series of acute parvovirus B19 infection published to date. This infection should be suspected on observing signs of purplish skin rashes, no matter the location or pattern of distribution, or vasculitis, especially if accompanied by fever and joint pain in young women in the spring. Measures to avoid infection should be recommended to individuals at risk.
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Affiliation(s)
| | - M Mayor Arenal
- Servicio de Dermatología, Hospital Universitario La Paz, Madrid, España
| | - K Vorlicka
- Servicio de Dermatología, Hospital Universitario La Paz, Madrid, España
| | | | - D Montero Vega
- Servicio Microbiología, Hospital Universitario La Paz, Madrid, España
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A serious parvovirus B19 genotype 2 infection not detected in a commercial PCR assay. J Clin Virol 2014; 60:70-2. [PMID: 24589313 DOI: 10.1016/j.jcv.2014.01.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2013] [Revised: 01/01/2014] [Accepted: 01/17/2014] [Indexed: 11/23/2022]
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Green LK, Fraire AE. Parvovirus. VIRUSES AND THE LUNG 2014. [PMCID: PMC7123204 DOI: 10.1007/978-3-642-40605-8_16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Name of Virus: Parvovirus
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A Case of Sweet Syndrome with Spleen and Lymph Node Involvement Preceded by Parvovirus B19 infection, and a Review of the Literature on Extracutaneous Sweet Syndrome. Am J Dermatopathol 2010; 32:621-7. [PMID: 20534986 DOI: 10.1097/dad.0b013e3181ce5933] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Sidoti F, Fierro MT, Costa C, Ponti R, Bergallo M, Comessatti A, Fumagalli M, Novelli M, Merlino C, Cavallo R, Bernengo MG. Prevalence and significance of human parvovirus variants in skin from primary cutaneous T cell lymphomas, inflammatory dermatoses and healthy subjects. Arch Dermatol Res 2009; 301:647-52. [DOI: 10.1007/s00403-009-0954-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2008] [Revised: 04/01/2009] [Accepted: 04/03/2009] [Indexed: 11/29/2022]
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Frühauf J, Massone C, Müllegger RR. Bullous papular-purpuric gloves and socks syndrome in a 42-year-old female: Molecular detection of parvovirus B19 DNA in lesional skin. J Am Acad Dermatol 2009; 60:691-5. [DOI: 10.1016/j.jaad.2008.08.037] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2008] [Revised: 08/21/2008] [Accepted: 08/25/2008] [Indexed: 10/21/2022]
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Adamidou A, Ntaios G, Chatzihidiroglou A, Chatzinikolaou A, Iliadis F, Karamitsos D. Atypical petechial rash of the lower extremities due to Parvovirus B19 infection. Int J Dermatol 2008; 47:760-2. [DOI: 10.1111/j.1365-4632.2008.03542.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Casolari C, Pecorari M, Balli F, Fabio G, Gennari W, Sabbatini AMT, Nanni N, Migaldi M, Guaraldi N, Tagliazucchi S, Alù M, Bertoli G, Fabio R, Portolani M. Unusual concurrent detection by polymerase chain reaction of Bartonella henselae and parvovirus b19 in an immunocompetent child with erythema nodosum and hepatic granulomatous disease. Diagn Microbiol Infect Dis 2007; 59:81-4. [PMID: 17532594 DOI: 10.1016/j.diagmicrobio.2007.03.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2006] [Revised: 03/20/2007] [Accepted: 03/23/2007] [Indexed: 10/23/2022]
Abstract
We report an unusual case of documented Bartonella henselae genotype I from hepatic tissue in an Italian immunocompetent girl presenting with erythema nodosum and hepatic granulomata. Polymerase chain reaction (PCR) was performed on biopsied liver sample to confirm the etiologic role of B. henselae and to identify the genetic variant of this organism. A PCR on the same liver biopsy for parvovirus B19 was also positive, but the clinical meaning of this was not clear.
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Affiliation(s)
- Chiara Casolari
- Department of Medical Laboratory and Legal Medicine, University of Modena and Reggio Emilia, Modena 41100, Italy.
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Yazici AC, Aslan G, Baz K, Ikizoglu G, Api H, Serin MS, Tezcan S, Emekdas G, Tasdelen B. A high prevalence of parvovirus B19 DNA in patients with psoriasis. Arch Dermatol Res 2006; 298:231-5. [PMID: 16862431 DOI: 10.1007/s00403-006-0678-9] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2006] [Revised: 05/07/2006] [Accepted: 06/07/2006] [Indexed: 11/30/2022]
Abstract
Psoriasis is a common inflammatory skin disease. Infectious models are considered to be of pathophysiological importance in psoriasis. The immunological profile of stable psoriasis plaques suggests that viral antigens may be important. Human parvovirus B19 (PVB19) is a single-stranded DNA virus that causes various clinical symptoms. Several case reports have suggested associations between PVB19 infection and various chronic autoimmune and dermatologic diseases. There has so far been no information regarding the role of PVB19 in psoriasis, except psoriatic arthritis. In this report, to investigate the role of PVB19 in psoriasis, we analyzed PVB19 DNA of peripheral blood from psoriatic patients (n = 47) in comparison with blood donors (n = 20). We also determined the presence of anti-PVB19 IgG and IgM antibodies by using enzyme-linked immunosorbent assay (ELISA). We found that the presence of PVB19 DNA in patients with psoriasis (38%) was significantly higher than in controls (0%, P < 0.01). Anti-PVB19 IgG antibodies were detected in 79% of the cases while only 6% had anti-PVB19 IgM antibodies. PVB19 DNA presence was associated with seropositivity for anti-PVB19 IgG (P < 0.05) but not with IgM antibodies, indicating subclinical activation of latent infection. No correlation was found between the presence of PVB19 DNA and a patient's age, sex, type of psoriasis, or psoriasis area and severity index. The data demonstrated a statistically significant association between psoriasis and PVB19. Therefore, we suggest that PVB19 infection may be of pathophysiological importance in psoriasis.
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Affiliation(s)
- Ayca Cordan Yazici
- Department of Dermatology, School of Medicine, Mersin University, 33079, Mersin, Turkey.
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Abstract
BACKGROUND Erythema infectiosum (fifth disease) is a common benign pediatric condition caused by B19 parvovirus. It can be identified clinically by a "slapped cheek" appearance that is often followed by reticulated exanthem on the trunk and extremities. OBJECTIVE This review article provides a concise overview of erythema infectiosum. METHODS The article is divided into the followings sections: background, epidemiologic characteristics, clinical description, diagnosis, differential diagnosis, laboratory diagnosis, prognosis, and management. RESULTS Erythema infectiosum is found to cause a fairly prominent classic rash and generalized symptoms. CONCLUSION Although erythema infectiosum has many distinctive symptoms, the prognosis is excellent because the condition in children is usually self-limited.
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Affiliation(s)
- Janet Vafaie
- Department of Dermatology, UMDNJ-New Jersey Medical School, Newark, New Jersey 07103-2714, USA
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Vafaie J, Schwartz RA. Erythema Infectiosum. J Cutan Med Surg 2005. [DOI: 10.1177/120347540500900401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background: Erythema infectiosum (fifth disease) is a common benign pediatric condition caused by B19 parvovirus. It can be identified clinically by a “slapped cheek” appearance that is often followed by reticulated exanthem on the trunk and extremities. Objective: This review article provides a concise overview of erythema infectiosum. Methods: The article is divided into the followings sections: background, epidemiologic characteristics, clinical description, diagnosis, differential diagnosis, laboratory diagnosis, prognosis, and management. Results: Erythema infectiosum is found to cause a fairly prominent classic rash and generalized symptoms. Conclusion: Although erythema infectiosum has many distinctive symptoms, the prognosis is excellent because the condition in children is usually self-limited.
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Affiliation(s)
- Janet Vafaie
- Department of Dermatology, UMDNJ-New Jersey Medical School, Newark, New Jersey, USA
| | - Robert A. Schwartz
- Department of Dermatology, UMDNJ-New Jersey Medical School, Newark, New Jersey, USA
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McNeely M, Friedman J, Pope E. Generalized petechial eruption induced by parvovirus B19 infection. J Am Acad Dermatol 2005; 52:S109-13. [PMID: 15858505 DOI: 10.1016/j.jaad.2004.11.040] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Parvovirus infection classically causes erythema infectiosum. During the past 2 decades, other unusual skin eruptions have been noted in association with parvovirus infection. Papular purpuric gloves and socks syndrome is one form of parvovirus infection described mostly in white, young adult patients. Recently, there have been reports of a few patients with acropetechial syndrome consisting of a papular purpuric gloves and socks syndrome-like presentation with additional involvement of the perioral and chin area, temporally associated with acute parvovirus B19 infection. We report a case of a 7-year-old boy with serologic evidence of acute parvovirus B19 infection who developed a generalized petechial eruption with lesions concentrated on his extremities and face. We also reviewed the literature and summarized the various cutaneous presentations of parvovirus infection.
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Affiliation(s)
- Mike McNeely
- The Hospital for Sick Children, Toronto, Ontario, Canada
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Sklavounou-Andrikopoulou A, Iakovou M, Paikos S, Papanikolaou V, Loukeris D, Voulgarelis M. Oral manifestations of papular-purpuric 'gloves and socks' syndrome due to parvovirus B19 infection: the first case presented in Greece and review of the literature. Oral Dis 2004; 10:118-22. [PMID: 14996283 DOI: 10.1046/j.1354-523x.2003.00986.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Papular-purpuric 'gloves and socks' syndrome (PPGSS) is a novel, rare, self-limited dermatosis initially described in 1990. It is characterized by painful, pruritic edema and erythema, rapidly evolving to papular-purpuric lesions on the distal extremities, in a gloves-and-socks distribution, accompanied by fever and oral lesions such as petechiae, vesiculopustules and small erosions. Parvovirus B19 has been implicated in most cases as the etiological factor. Herein we present the first case of PPGSS in a 42-year-old Greek man with von Willebrand disease. On admission the patient was febrile, and presented acral edema and erythema rapidly followed by purpuric lesions on the same sites, and palatal petechiae. Complete remission of the exanthem occurred 7 days after hospitalization. Clinical and laboratory evaluation including serologic tests and PCR, confirmed the presence of parvovirus B19. Review of the existing literature on this novel syndrome and its association with parvovirus B19 is also presented.
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