Atypical manifestations of rash in a child infected with parvovirus B19

Erythema infectiosum is the main clinical variant of infection associated with parvovirus B19 in children. Clinical symptoms include mild fever, erythema on the cheeks («a slapped face» symptom), and a maculopapular rash on the body that becomes lacy over time. But this characteristic of the rash is not always recorded. Parvovirus B19 is associated with various skin lesions that require a differential diagnosis with tick-borne borreliosis, sudden exanthema, hemorrhagic vasculitis, systemic lupus erythematosus, etc. The differential diagnosis is considered using the example of a 6-year-old child hospitalized in an Infectious Hospital with atypical manifestations of erythema infectiosum.