Erythema infectiosum: The Daily PANCE Blueprint

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Erythema infectiosum: The Daily PANCE Blueprint

A 35-year-old woman presents with a diffuse erythematous rash on her cheeks and arm, along with arthralgias. Her 7-year-old son had a similar rash 3 weeks ago that was diagnosed as erythema infectiosum. Parvovirus IgM is positive. Hemoglobin is 12 g/dL. Which of the following is the most appropriate management?

A) Acyclovir
B) Intravenous immunoglobulin (IVIG)
C) Red blood cell transfusion
D) Supportive care
E) Foscarnet

Answer and topic summary

The answer is D) Supportive care

This patient has a rash and arthralgias consistent with erythema infectiosum from parvovirus B19, likely acquired from her son. Her hemoglobin is normal. Erythema infectiosum is typically a mild, self-limited illness requiring only symptomatic treatment with no specific antiviral therapy.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Infectious Disease ⇒ Viral Infectious Disease ⇒ Erythema infectiosum

Also covered as part of the Pediatric Rotation EOR topic list

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