• Alternative Names

    Exanthem subitum; Sixth disease


    The child may have a runny nose, sore throat, and eye redness.

    A fever usually occurs before the rash appears. It lasts for 3 (sometimes up to 7) days. The fever may be as high as 105° Fahrenheit, and it generally responds well to acetaminophen (Tylenol).

    Between the second and fourth day of the illness, the fever drops and a rash appears (often as the fever falls).

    • The rash starts on the trunk and spreads to the limbs, neck, and face. The rash is pink or rose-colored, and has fairly small sores that are slightly raised.
    • The rash lasts from a few hours to 2 - 3 days. It usually does not itch.

    Other symptoms include:

    • Irritability
    • High fever that comes on quickly

    Signs and tests
    • Physical exam of rash
    • Swollen lymph nodes on the neck (cervical nodes) or back of the scalp (occipital nodes)