This is followed in several days by the appearance of a bright red, raised rash which covers the cheeks, making them look as if they had been slapped. The area around the mouth is usually not involved. After another 1 to 3 days a pink, blotchy and often itchy rash appears on the upper part of the arms and legs, spreading to the trunk and buttocks. Once cleared, it may reappear for several weeks or months if the skin becomes flushed from exercise, sunlight or a warm bath. The hands, knees and wrists are most commonly affected.
Discomfort lasts from a few days to several months.
There is no permanent joint damage. There are no complications from infection in a normal child. Infection in pregnant women can cause anemia in the unborn baby. When to call your doctor You should call our office if you feel frightened or worried about your child's illness. Treatment Most children with erythema infectiosum do not need medication.