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Sixth Disease / Roseola: Causes, Symptoms, Diagnosis, And Treatment

Roseola is a minor illness that mostly affects children by the age of two, but sometimes it also affects adults. As a result of the widespread prevalence of roseola, the majority of children are afflicted by the time they begin kindergarten.

Two different types of the herpes virus cause the illness. It is common for the disorder to provide a fever for plenty days observed with the aid of a rash. In this situation, also known as sixth disorder, there is a quick defervescence of the fever, in addition to an accompanying pink papular rash that starts offevolved on the trunk and spreads at some stage in the body.

A very mild form of roseola may manifest itself in some youngsters who never exhibit any obvious indications of disease, while others manifest the entire spectrum of signs and symptoms. It is not usually taken seriously. Bed rest, water, and fever-reducing medicines are all recommended for the treatment of roseola.


Roseola is sometimes referred to as the “sixth disease” since the “human herpesvirus (HHV) type 6” causes it in the majority of cases. HHV type 7 or another virus, which occurs less often, may also cause it.

Similar to other viral diseases which includes the commonplace cold, roseola can be transmitted from one character to every other through touch with the respiratory secretions or saliva of an inflamed individual. For instance, it’s far viable for a healthful child to accumulate roseola via sharing a cup with a toddler who is sick with the virus.

It is contagious even if there is no rash on the affected person’s skin. Consequently, even if a child has just a fever, the ailment may additionally spread and the child won’t be recognized with roseola till the fever has subsided. If your kid has come into touch with some other infant who’s tormented by the sickness, keep an eye out for signs and symptoms of the infection.

Due to the truth that they have got now not had enough time to build their own antibodies towards many viruses, infants are at the best hazard of contracting roseola. Babies get antibodies from their mothers while still in the uterus, which protects them against acquiring illnesses as infants. However, over time, this immunity begins to wane. An infant’s risk of contracting roseola increases with age, with the most frequent age being between 6 and 15 months.


The first signs and symptoms of roseola emerge approximately 10 days after the first infection. In most cases, a high temperature (typically over 103° F) is the initial indication of sickness. This fever may persist anywhere between three and seven days. Once the fever has subsided, a rash at the belly is commonplace, and it is able to expand to the lower back, neck, and arms of the character. Pink or purple patches cover the pores and skin, making it non-itchy and non-painful to the touch. Even if the rash fades within a few hours, it may be visible for one to two days after that.

Roseola may cause cold or flu-like symptoms in children, including the following:

  • Cough
  • Runny nose
  • Ear pain
  • Loss of appetite
  • Sore throat
  • Irritability
  • Swollen glands
  • Enlarged lymph nodes
  • Seizure

Oftentimes, the ensuing seizure is febrile, which is defined as a seizure delivered on by using a fast upward thrust in body temperature. This type of seizure could be very rare and has no aspect results. However, in case you think your infant has had a seizure, you must right away name your physician or are looking for emergency scientific help.

Signs of dehydration including dark urine and severe tiredness may also indicate roseola.


It will be necessary for your child’s skin to be checked by your doctor, who will also ask about their symptoms in order to determine whether or not they have sixth disease and to rule out any other potential causes of the symptoms. A diagnosis may usually be made solely based on the appearance of a rash; however, it may be required to confirm the diagnosis by testing for antibodies to roseola in a blood sample in certain instances.


A week following the onset of the fever, the majority of the children recover fully. If your child’s doctor approves it, you may give him or her over-the-counter medications to help reduce the temperature.

For roseola, there is currently no particular therapy, but some physicians may prescribe the antiviral drug to treat the infection in individuals who have compromised immune systems. Antibiotics are ineffective in treating viral diseases including roseola, which is as a result of a plague. The majority of cases with roseola simply require supportive care. The truth that the sickness is because of a virulent disease means that antibiotics may be useless in treating it. For the treatment of roseola, currently no antiviral medicines available can cure it completely.

If your child’s fever has subsided, he or she should immediately begin to feel better. On the other hand, a fever may make your kid feel sick or uneasy. Your doctor may suggest the home treatments as getting enough sleep and bed rest. It is also advised to get a sufficient quantity of fluids. To prevent dehydration and dehydration-associated diseases, inspire your toddler to drink clean fluids along with water, clean broth, ginger ale, lemon-lime soda, or an electrolyte rehydration solution or sports beverages.

Sponge baths are also recommended for treating roseola. A cold washcloth applied to your child’s head or a lukewarm sponge bath may help alleviate the discomfort associated with a fever in your child. Avoid, on the other hand, ice, cold water, fans, and cold baths. As a consequence, the kid may experience uncomfortable chills.

When to See a Doctor

If you observe any rash that doesn’t disappear within some days, or if the fever lasts longer than every week or exceeds 103° F, schedule an appointment with your baby’s physician without delay. If your child famous cough or other signs like problem breathing, fever for extra than 24 hours, seizure, itchy or uncomfortable rash on the pores and skin, itching, vomiting, or diarrhea, you need to touch your healthcare provider.

Alice Jacqueline is a creative writer. Alice is the best article author, social media, and content marketing expert. Alice is a writer by day and ready by night. Find her on Twitter and on Facebook!

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