Germanaud David, Sermet-Gaudelus Isabelle
Service de pédiatrie générale et médecine interne pédiatrique, hôpital Necker-Enfants malades, 75743 Paris Cedex 15.
Rev Prat. 2007 May 31;57(10):1049-55.
Symptomatic manifestations of parvovirus B19 infection range from harmless conditions such as 5th disease of the child or arthropathy of the middle-aged woman to life threatening disease such as transient aplastic crisis during sickle cell disease, chronic anaemia in immunodeficiency states or hydrops foetalis during pregnancy. Increasing knowledge of parvovirus B19 has led to a better understanding about how a single and unvariant erythrovirus causes such a variety of diseases. The importance of age, hematopoietic and immune status has been raised and besides, effective diagnostic assays, treatments and possibly vaccine have been developed that can be rationally used at the light of this knowledge.
细小病毒B19感染的症状表现多样,从无害的情况如儿童的传染性红斑或中年女性的关节病到危及生命的疾病,如镰状细胞病期间的暂时性再生障碍危象、免疫缺陷状态下的慢性贫血或怀孕期间的胎儿水肿。对细小病毒B19的了解不断增加,使得人们更好地理解了这种单一不变的红细胞病毒是如何引发如此多种疾病的。年龄、造血和免疫状态的重要性已得到重视,此外,还开发了有效的诊断检测方法、治疗方法以及可能的疫苗,可根据这些知识合理使用。