Pityriasis rosea
For patient information, click here Template:DiseaseDisorder infobox
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [3]
Overview
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]
Overview
Pityriasis rosea is a skin disease marked by patches of pink, oval rash. Although its exact cause is unknown and its onset is not linked to food, medicines or stress, it is thought that this essentially non-contagious condition is set off by a virus. Pityriasis rosea can affect members of either sex of any age. However, it is most common in females and those between the ages of 8 and 35. Symptoms only recur in 3% of the affected.
Risk Factors
Although pityriasis rosea may occur in more than one person in a household at a time, it is not thought to spread from one person to another.
Natural History, Complications and Prognosis
Pityriasis rosea usually lasts between 8 to 10 weeks — the rashes disappear without scarring. In people with dark complexions, however, hyperpigmented discolorations may last for several months afterwards. Although Pityriasis rosea may occur in more than one person in a household at a time, it is not thought to be highly contagious. Dogs and bears are known to be afflicted by Pityriasis rosea quite frequently
References
Historical Perspective
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References
Classification
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References
Pathophysiology
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Causes
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]
Overview
Pityriasis rosea is believed to be caused by a virus and it occurs most often in the fall and spring.
References
Differentiating Pityriasis rosea from other Diseases
Overview
Differential Diagnosis
- Syphilis
- After 4-10 weeks of primary syphilis, secondary syphilis can occur affecting skin, mucous membrane and lymph nodes. They can present with fever, malaise, sore throat, weight loss, headache, and hair loss.[1][2]
| Disease | Rash Characteristics | Signs and Symptoms | Associated Conditions | Rash Appearance |
|---|---|---|---|---|
| Cutaneous T cell lymphoma/Mycosis fungoides[3] |
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| Pityriasis rosea[4] |
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| Pityriasis lichenoides chronica |
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| Nummular dermatitis[7] |
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| Secondary syphilis[8] |
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| Bowen’s disease[9] |
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| Exanthematous pustulosis[11] |
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| Hypertrophic lichen planus[13] |
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| Sneddon–Wilkinson disease[15] |
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| Small plaque parapsoriasis[19] |
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| Intertrigo[21] |
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| Langerhans cell histiocytosis[22] |
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| Tinea manuum/pedum/capitis[26] |
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| Seborrheic dermatitis |
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References
- ↑ Mullooly C, Higgins SP (2010). “Secondary syphilis: the classical triad of skin rash, mucosal ulceration and lymphadenopathy”. Int J STD AIDS. 21 (8): 537–45. doi:10.1258/ijsa.2010.010243. PMID 20975084.
- ↑ Kent ME, Romanelli F (2008). “Reexamining syphilis: an update on epidemiology, clinical manifestations, and management”. Ann Pharmacother. 42 (2): 226–36. doi:10.1345/aph.1K086. PMID 18212261.
- ↑ “Mycosis Fungoides and the Sézary Syndrome Treatment (PDQ®)—Patient Version – National Cancer Institute”.
- ↑ Mahajan K, Relhan V, Relhan AK, Garg VK (2016). “Pityriasis Rosea: An Update on Etiopathogenesis and Management of Difficult Aspects”. Indian J Dermatol. 61 (4): 375–84. doi:10.4103/0019-5154.185699. PMC 4966395. PMID 27512182.
- ↑ Prantsidis A, Rigopoulos D, Papatheodorou G, Menounos P, Gregoriou S, Alexiou-Mousatou I, Katsambas A (2009). “Detection of human herpesvirus 8 in the skin of patients with pityriasis rosea”. Acta Derm. Venereol. 89 (6): 604–6. doi:10.2340/00015555-0703. PMID 19997691.
- ↑ Smith KJ, Nelson A, Skelton H, Yeager J, Wagner KF (1997). “Pityriasis lichenoides et varioliformis acuta in HIV-1+ patients: a marker of early stage disease. The Military Medical Consortium for the Advancement of Retroviral Research (MMCARR)”. Int. J. Dermatol. 36 (2): 104–9. PMID 9109005.
- ↑ Jiamton S, Tangjaturonrusamee C, Kulthanan K (2013). “Clinical features and aggravating factors in nummular eczema in Thais”. Asian Pac. J. Allergy Immunol. 31 (1): 36–42. PMID 23517392.
- ↑ “STD Facts – Syphilis”.
- ↑ Neagu TP, Ţigliş M, Botezatu D, Enache V, Cobilinschi CO, Vâlcea-Precup MS, GrinŢescu IM (2017). “Clinical, histological and therapeutic features of Bowen’s disease”. Rom J Morphol Embryol. 58 (1): 33–40. PMID 28523295.
- ↑ Murao K, Yoshioka R, Kubo Y (2014). “Human papillomavirus infection in Bowen disease: negative p53 expression, not p16(INK4a) overexpression, is correlated with human papillomavirus-associated Bowen disease”. J. Dermatol. 41 (10): 878–84. doi:10.1111/1346-8138.12613. PMID 25201325.
- ↑ Szatkowski J, Schwartz RA (2015). “Acute generalized exanthematous pustulosis (AGEP): A review and update”. J. Am. Acad. Dermatol. 73 (5): 843–8. doi:10.1016/j.jaad.2015.07.017. PMID 26354880.
- ↑ Schmid S, Kuechler PC, Britschgi M, Steiner UC, Yawalkar N, Limat A, Baltensperger K, Braathen L, Pichler WJ (2002). “Acute generalized exanthematous pustulosis: role of cytotoxic T cells in pustule formation”. Am. J. Pathol. 161 (6): 2079–86. doi:10.1016/S0002-9440(10)64486-0. PMC 1850901. PMID 12466124.
- ↑ Ankad BS, Beergouder SL (2016). “Hypertrophic lichen planus versus prurigo nodularis: a dermoscopic perspective”. Dermatol Pract Concept. 6 (2): 9–15. doi:10.5826/dpc.0602a03. PMC 4866621. PMID 27222766.
- ↑ Shengyuan L, Songpo Y, Wen W, Wenjing T, Haitao Z, Binyou W (2009). “Hepatitis C virus and lichen planus: a reciprocal association determined by a meta-analysis”. Arch Dermatol. 145 (9): 1040–7. doi:10.1001/archdermatol.2009.200. PMID 19770446.
- ↑ Lutz ME, Daoud MS, McEvoy MT, Gibson LE (1998). “Subcorneal pustular dermatosis: a clinical study of ten patients”. Cutis. 61 (4): 203–8. PMID 9564592.
- ↑ Kasha EE, Epinette WW (1988). “Subcorneal pustular dermatosis (Sneddon-Wilkinson disease) in association with a monoclonal IgA gammopathy: a report and review of the literature”. J. Am. Acad. Dermatol. 19 (5 Pt 1): 854–8. PMID 3056995.
- ↑ Delaporte E, Colombel JF, Nguyen-Mailfer C, Piette F, Cortot A, Bergoend H (1992). “Subcorneal pustular dermatosis in a patient with Crohn’s disease”. Acta Derm. Venereol. 72 (4): 301–2. PMID 1357895.
- ↑ Sauder MB, Glassman SJ (2013). “Palmoplantar subcorneal pustular dermatosis following adalimumab therapy for rheumatoid arthritis”. Int. J. Dermatol. 52 (5): 624–8. doi:10.1111/j.1365-4632.2012.05707.x. PMID 23489057.
- ↑ Lambert WC, Everett MA (1981). “The nosology of parapsoriasis”. J. Am. Acad. Dermatol. 5 (4): 373–95. PMID 7026622.
- ↑ Väkevä L, Sarna S, Vaalasti A, Pukkala E, Kariniemi AL, Ranki A (2005). “A retrospective study of the probability of the evolution of parapsoriasis en plaques into mycosis fungoides”. Acta Derm. Venereol. 85 (4): 318–23. doi:10.1080/00015550510030087. PMID 16191852.
- ↑ Janniger CK, Schwartz RA, Szepietowski JC, Reich A (2005). “Intertrigo and common secondary skin infections”. Am Fam Physician. 72 (5): 833–8. PMID 16156342.
- ↑ Satter EK, High WA (2008). “Langerhans cell histiocytosis: a review of the current recommendations of the Histiocyte Society”. Pediatr Dermatol. 25 (3): 291–5. doi:10.1111/j.1525-1470.2008.00669.x. PMID 18577030.
- ↑ Stull MA, Kransdorf MJ, Devaney KO (1992). “Langerhans cell histiocytosis of bone”. Radiographics. 12 (4): 801–23. doi:10.1148/radiographics.12.4.1636041. PMID 1636041.
- ↑ Sholl LM, Hornick JL, Pinkus JL, Pinkus GS, Padera RF (2007). “Immunohistochemical analysis of langerin in langerhans cell histiocytosis and pulmonary inflammatory and infectious diseases”. Am. J. Surg. Pathol. 31 (6): 947–52. doi:10.1097/01.pas.0000249443.82971.bb. PMID 17527085.
- ↑ Grois N, Pötschger U, Prosch H, Minkov M, Arico M, Braier J, Henter JI, Janka-Schaub G, Ladisch S, Ritter J, Steiner M, Unger E, Gadner H (2006). “Risk factors for diabetes insipidus in langerhans cell histiocytosis”. Pediatr Blood Cancer. 46 (2): 228–33. doi:10.1002/pbc.20425. PMID 16047354.
- ↑ Al Hasan M, Fitzgerald SM, Saoudian M, Krishnaswamy G (2004). “Dermatology for the practicing allergist: Tinea pedis and its complications”. Clin Mol Allergy. 2 (1): 5. doi:10.1186/1476-7961-2-5. PMC 419368. PMID 15050029.
- ↑ Schwartz RA, Janusz CA, Janniger CK (2006). “Seborrheic dermatitis: an overview”. Am Fam Physician. 74 (1): 125–30. PMID 16848386.
- ↑ Misery L, Touboul S, Vinçot C, Dutray S, Rolland-Jacob G, Consoli SG, Farcet Y, Feton-Danou N, Cardinaud F, Callot V, De La Chapelle C, Pomey-Rey D, Consoli SM (2007). “[Stress and seborrheic dermatitis]”. Ann Dermatol Venereol (in French). 134 (11): 833–7. PMID 18033062.
Epidemiology and Demographics
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References
Risk Factors
Please help WikiDoc by adding content here. It’s easy! Click here to learn about editing. Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]
Overview
Although pityriasis rosea may occur in more than one person in a household at a time, it is not thought to spread from one person to another.
References
Natural History, Complications and Prognosis
Please help WikiDoc by adding more content here. It’s easy! Click here to learn about editing.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]
Overview
Pityriasis rosea usually lasts between 8 to 10 weeks — the rashes disappear without scarring. In people with dark complexions, however, hyperpigmented discolorations may last for several months afterwards. Although Pityriasis rosea may occur in more than one person in a household at a time, it is not thought to be highly contagious. Dogs and bears are known to be afflicted by Pityriasis rosea quite frequently
References
Diagnosis
Diagnosis
History and Symptoms | Physical Examination | Laboratory Findings | Other Imaging Findings | Other Diagnostic Studies
Treatment
Treatment
Medical Therapy | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies
Related Chapters
Related Chapters
- Ringworm
- Pityriasis – for list of similarly named flaky skin conditions
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