Trims banget infonya for mbak lif Ella Lif Rahayu <[EMAIL PROTECTED]> wrote: Mbak Ella,
Roseola umunya menimpa anak di bawah usia 3 tahun, paling banyak di antara usia 6-15 bulan, penyebabnya virus, biasanya dimulai dengan demam tinggi (bisa sampai 39.5 deg C) antara 3-5 hari, kemudian tiba-tiba turun dan muncul bintik2 merah, biasanya bintik2 merah dimulai di daerha muka/kepala leher kemudian menjalar ke tangan2 dan kaki2. Bintik2 merahnya tidak menggelembung dan tidak ada cairan di dalamnya. Bintik merahnya menjadi putih jika disentuh/dipencet. Umumnya penderita roseola ini tidak tidak terlalu rewel, makan minum masih lancar dan masih lancar ceria. Bintik2 merah akan hilang dalam 1-2 hari, bahkan dalam hitungan jam ada juga. Kalau anak saya dulu 2 harian. Karena penyebabnya virus, tidak perlu antibiotika, cukup banyak istirahat dan makan minum. Biasanya orang suka salah antara roseola dengan campak (measles), saya sendiripun pernah bingung waktu Nayma kena, tapi toh campakpun treatmentnya hampir sama, banyak minum dan makan yang bergizi dan dibuat senyaman mungkin. Campak penyebabnya kan juga virus, kecuali jika ada komplikasi dengan infeksi bakteri (biasanya terjadi kepada anak2 yang belum divaksin campak) biasanya juga dgn bakteri penyebab pneumonia nih komplikasinya baru deh perlu dirawat dan perlu antibiotika. Banyak dibahas di homepage kayak ww.mayoclinic.com atau www.kishealth.org, saya ambil dari yang http://www.drgreene.com/21_1173.html. Roseola Related concepts: Exanthem subitum, Human herpesvirus 6, HHV-6, Sixth disease Introduction: After several nights of watching their toddlerwith a fever , the parents notice a red rashcovering his body. Is this a sign of trouble? Or is it good news? What is it? *Roseola* is a mild viral illness with a fever followed by a rash. Before the 20th century, children with roseola were lumped in with those with measlesor rubella or scarlet fever. It wasn't until 1913 that this specific syndrome was recognized, distinguishing from the others as a benign, self-limited disease occurring almost exclusively in young children. It is caused by human herpesvirus 6 (HHV-6) or occasionally by human herpesvirus 7 (HHV-7). While the disease has been recognized for almost century, HHV-6 was discovered only in 1986, and HHV-7, in 1990. Roseola is also called *roseola infantum* (because it occurs mostly in infants ), *exanthem subitum* (meaning "sudden rash"), and sixth disease (because it was the sixth of the similar childhood rash infections to be described). It is one of the classic childhood exanthems . Who gets it? Almost all cases of roseola occur in children before their third birthdays. The peak age is between 6 and 15 months. Healthy babies are born with protective antibodies from their mothers, but these begin to disappear when the baby is 4 to 6 months old. By 15 months, most babies have protective antibodies that they have made themselves. These will last a lifetime. Fewer than half of children ever get roseola. Nevertheless, almost all children have had HHV-6 infections by age 3. For the majority, who never get the rash, the HHV-6 infection usually causes a fever, perhaps with other symptoms. It is a common cause of baby's first fever. HHV-7 follows a similar pattern, but the time sequence is more spread out; most children have become infected before middle school . What are the symptoms? Classic roseola features a high fever (average 103°F) that lasts for 3 to 5 days (worse at night). Most children behave normally, even with the high fevers . In most, the fever ends abruptly, although it can disappear slowly over a day or so. A rash appears within hours of the fever subsiding. The rash is rose-colored, as the name * roseola* suggests. The rash may be present on the upper arms, legs, and face, but is most prominent on the neck and trunk, where it usually begins. It consists of numerous, small (2- to 5-mm), slightly raised spots that blanch when pressed. The rash does not itch and does not cause blisters. The rash typically lasts for 24 to 48 hours. Sometimes the spots coalesce before the rash disappears. In some children, the rash may be fleetinggone in minutes or hours. The most common complication is seizuresat the beginning of the high fever in a small number of children. These febrile seizures are scary to parents but are benign. Is it contagious? Once people have been infected with HHV-6 or HHV-7, the virustypically stays in their bodies for the rest of their lives. Antibodies prevent them from getting sick again themselves, but they can infect others. Most infected adults have the viruses in their saliva. Children typical get roseola from close exposure to caregivers who are themselves wellnot from being around sick children or adults. Once exposed, the incubation period is 5 to 15 days. How is it diagnosed? Roseola is usually diagnosed based on a classic history and physical exam. During the days of fever, before the rash appears, lab work may be needed to rule out other problems. Once the rash has appeared, the diagnosis is usually clear. Sometimes it is confused with rubella, measles, scarlet fever, fifth disease , or drug reactions (especially if children have been started on an antibioticduring the fever). How is it treated? Antibiotics do not help. No treatment is needed in otherwise healthy children, except perhaps for acetaminophen or ibuprofen to lower the fever or increase comfort. Antiviral agents are available for those rare children who need them. How can it be prevented? There is no clear way to prevent roseola. There is no reason to exclude children with the roseola rash from daycare . Related A-to-Z Information: Exanthems (Childhood rash) , Fifth Disease , Human Herpesvirus, Measles , Rubella (German measles), Scarlet Fever Alan Greene MD FAAP 2008/4/23 Ella Zuyuna : > Mbak lif... > > Bisa jelaskan tentang roseola.. > > Thanks > Ella > > Lif Rahayu wrote: > Mbak Ella dan yang lainnya, > > Nayma pernah kayak gitu, panas 3 hari, kemudian hari ke-4 turun, kemudian > muncul deh bintik2 merah, kena roseola ternyata. dalam 3 harian ilang > bintin merahnya. Jadi merah-merahnya memang muncul bukan karena alergi > makanan tapi memang karena perjalanan roseola begitu. Sudah dishare oleh > mom > Uci ya. > > Demam berdarah tidak ada obatnya, jadi jika kekhawatiran terkena demam > berdarah, langkah pertama adalah segera berikan banyak cairan. > > Demam berdarah biasanya hari ke-4 memang demam mulai turun tapi lemas dan > pusing luar biasa, jadi anak gak mungkin deh ceria kalo kena DB. Demam sih > enggak tapi pusingnya gak nahan deh.... > > Kayaknya sih gak kena DB atau alergi makanan, tapi kena roseola. Kecuali > kalau anaknya menjadi lemas dan gak bergairah, walau demam turun, baru > curiga ke DB dan gak ada salahnya test darah (langusng aja ke lab, minta > test darah lengkap plus antigen dengue, total kira2 300 ribu). > > best regards, > > Lif Rahayu > > 2008/4/23 Ella Zuyuna : > > > Cepat bawa ke Dokter aja dech... > > Memang sich kalo panasnya bisa turun setelah dikasih penurun panas > > kemungkinan bukan DB atau typoid.Bisa jadi infeksi.Tapi koq ada merah2 > > ya...atau bisa jadi alergi makanan. > > > > Murniati Syam wrote: > > Segera bawa ke dokter mom.... > > Jangan di Sepelekan..., Takutnya DB > > > > Coba Cek giginya mungkin juga mo tumbuh Gigi, > > Si Alief(1th3bln) juga 2 minggu lalu deman, setela di cek ternyata > > Gusinya tumbuh... > > > > Best Regards > > Murniati Syam Fitri > > Panasonic ideas for life > > SMT Traineer, PSECB2 > > > > > > > > > > -----Original Message----- > > From: Elis Murti [mailto:[EMAIL PROTECTED] > > Sent: Wednesday, April 23, 2008 10:53 AM > > To: balita-anda@balita-anda.com > > Subject: [balita-anda] demam..bintik-bintik merah > > > > mom's help me dong.. > > anakku Ian (1 th 2 bln) sejak sabtu panas tinggi (sampai 39,5 der), > > aku kasih dia obat penurun panas, berhasil turun beberapa saat tapi > > panasnya naik lagi. kondisi itu sampai minggu malam. Hari senin seharian > > nggak panas, jadi nggak minum obat penurun panas sama sekali. Selasa > > sore aku lihat dari muka sampai kaki muncul bintik-bintik > > merah...lumayan banyak dan kembali panas (tapi nggak sepanas hari > > sabtu), kembali aku kasih minum obat penurun panas. Sampai sekarang > > belum aku bawa ke dokter karena ngliat anaknya nggak rewel dan tetep > > ceria. Kira-kira kenapa ya? mohon pencerahannya dong. > > > > thx sebelumnya... > > > > regards > > > > elis > > > > > > --------------------------------- > > Bergabunglah dengan orang-orang yang berwawasan, di bidang Anda di > > Yahoo! Answers > > > > -------------------------------------------------------------- > > Info tanaman hias: http://www.toekangkeboen.com > > Info balita: http://www.balita-anda.com > > Peraturan milis, email ke: [EMAIL PROTECTED] > > menghubungi admin, email ke: [EMAIL PROTECTED] > > > > > > > > > > --------------------------------- > > Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try > it > > now. > > > > > > --------------------------------- > Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it > now. > --------------------------------- Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.
