Pityriasis rosea
☆ Yng nghanlyniadau Stiftung Warentest 2022 o’r Almaen, roedd boddhad defnyddwyr â ModelDerm ond ychydig yn is nag ymgynghoriadau telefeddygaeth taledig.
Pityriasis rosea ar y cefn ― Macwlau a chlytiau asymptomatig, yn wahanol i echdoriadau cyffuriau sydd fel arfer yn cosi.
Os yw'n cosi llawer, mae'n bosibl y byddwch yn amau clefyd alergaidd fel nummular eczema.
References
Mae Pityriasis rosea yn gyflwr croen dros dro wedi'i farcio gan glytiau uchel a chenennau. Mae fel arfer yn dechrau gydag un clwt, a elwir yn herald patch , ac yna mwy o glytiau yn ymddangos dros yr ychydig wythnosau nesaf. Fodd bynnag, ni fydd gan bawb sydd â pityriasis rosea y darn cychwynnol hwn. Mae'r clytiau hyn yn aml yn ffurfio patrwm nodedig sy'n debyg i goeden Nadolig ar y boncyff a'r aelodau uchaf.
Pityriasis rosea, also known as pityriasis circinata, roseola annulata, and herpes tonsurans maculosus is an acute self-limiting papulosquamous disorder. It is often characterized by an initial herald patch, followed by scaly oval patches within 2 weeks. However, the herald patch is not always present. The scaly oval patches typically distribute in a Christmas-tree pattern on the trunk and proximal extremities. This activity reviews the evaluation and treatment of pityriasis rosea and the importance of the interprofessional team in recognizing and managing patients with this condition.
Pityriasis rosea, also known as pityriasis circinata, roseola annulata, and herpes tonsurans maculosus is an acute self-limiting papulosquamous disorder. It is often characterized by an initial herald patch, followed by scaly oval patches within 2 weeks. However, the herald patch is not always present. The scaly oval patches typically distribute in a Christmas-tree pattern on the trunk and proximal extremities. This activity reviews the evaluation and treatment of pityriasis rosea and the importance of the interprofessional team in recognizing and managing patients with this condition.
Mae Pityriasis rosea yn frech gyffredin sydd fel arfer yn dechrau gydag un darn ar y boncyff ac yn lledaenu i orchuddio'r boncyff a'r aelodau. Mae diagnosis yn dibynnu ar archwiliad clinigol. Mae'r darn cychwynnol yn ymddangos yn goch gyda ffin uchel a chanol suddedig. Mae'r frech fel arfer yn dod i'r amlwg tua phythefnos yn ddiweddarach. Gall cleifion brofi blinder, cyfog, cur pen, poen yn y cymalau, nodau lymff chwyddedig, twymyn, a dolur gwddf ochr yn ochr â'r frech. Mae amodau tebyg yn cynnwys syffilis, dermatitis seborrheic, ecsema, ac eraill. Nod triniaeth yw lleddfu symptomau gyda corticosteroidau neu wrthhistaminau. Gall Acyclovir helpu mewn rhai achosion. Gall achosion difrifol elwa o ffototherapi UV. Weithiau mae'r clefyd yn ystod beichiogrwydd wedi'i gysylltu â camesgoriad.
Pityriasis rosea is a common rash that usually begins with a single patch on the trunk and spreads to cover the trunk and limbs. Diagnosis relies on clinical examination. The initial patch appears red with a raised border and sunken center. The rash typically emerges about two weeks later. Patients may experience fatigue, nausea, headaches, joint pain, swollen lymph nodes, fever, and sore throat alongside the rash. Similar conditions include syphilis, seborrheic dermatitis, eczema, and others. Treatment aims to alleviate symptoms with corticosteroids or antihistamines. Acyclovir may help in some cases. Severe instances may benefit from UV phototherapy. The disease during pregnancy sometimes has been linked to miscarriage.
Pityriasis rosea is a common rash that usually begins with a single patch on the trunk and spreads to cover the trunk and limbs. Diagnosis relies on clinical examination. The initial patch appears red with a raised border and sunken center. The rash typically emerges about two weeks later. Patients may experience fatigue, nausea, headaches, joint pain, swollen lymph nodes, fever, and sore throat alongside the rash. Similar conditions include syphilis, seborrheic dermatitis, eczema, and others. Treatment aims to alleviate symptoms with corticosteroids or antihistamines. Acyclovir may help in some cases. Severe instances may benefit from UV phototherapy. The disease during pregnancy sometimes has been linked to miscarriage.
In most cases, PR does not influence pregnancy or birth outcomes. Analysis of pooled data from our study and from previous studies revealed that the week of pregnancy at onset of PR was inversely associated with an unfavorable outcome (odds ratio [OR] = 0.937; 95 % CI 0.883 to 0.993). In addition, duration of PR (OR = 1.432; 95 % CI 1.129 to 1.827), additional extracutaneous symptoms (OR = 4.112; 95 % CI 1.580 to 10.23), and widespread rash distribution (OR 5.203, 95 % CI 1.702 to 14.89) were directly associated with unfavorable outcome.
Mae Pityriasis rosea yn gyflwr croen cyffredin sydd fel arfer yn effeithio ar bobl ifanc yn eu harddegau ac oedolion ifanc (10-35 oed) , ychydig yn fwy felly mewn merched. Mae'n dechrau'n sydyn, fel arfer gydag un darn o'r enw Herald patch ar y boncyff, ac yna brech o smotiau hirgrwn bach, pincaidd wedi'u hamgylchynu gan fodrwy lwydaidd. Mae'r smotiau hyn yn aml yn ffurfio patrwm sy'n debyg i Christmas tree ar y boncyff. Mae'r frech fel arfer yn para am tua 6 i 8 wythnos. Mae Pityriasis rosea yn effeithio ar tua 0. 68% o bobl sy'n gweld dermatolegydd, ond gall hyn amrywio o 0. 39% i 4. 8%.
Pityriasis rosea (PR) is a relatively common, self-limited papulo-squamous dermatosis of unknown origin, which mainly appears in adolescents and young adults (10-35 years), slightly more common in females. It has a sudden onset, and in its typical presentation, the eruption is preceeded by a solitary patch termed “herald patch”, mainly located on the trunk. Few days later, a secondary eruption appears, with little pink, oval macules, with a grayish peripheral scaling collarette around them. The secondary lesions adopt a characteristic distribution along the cleavage lines of the trunk, with a configuration of a “Christmas tree”. In most cases, the eruption lasts for 6 to 8 wk. Its incidence has been estimated to be 0.68% of dermatologic patients, varying from 0.39% to 4.8%.
Pityriasis rosea (PR) is a relatively common, self-limited papulo-squamous dermatosis of unknown origin, which mainly appears in adolescents and young adults (10-35 years), slightly more common in females. It has a sudden onset, and in its typical presentation, the eruption is preceeded by a solitary patch termed “herald patch”, mainly located on the trunk. Few days later, a secondary eruption appears, with little pink, oval macules, with a grayish peripheral scaling collarette around them. The secondary lesions adopt a characteristic distribution along the cleavage lines of the trunk, with a configuration of a “Christmas tree”. In most cases, the eruption lasts for 6 to 8 wk. Its incidence has been estimated to be 0.68% of dermatologic patients, varying from 0.39% to 4.8%.
Er nad yw'r achos yn gwbl glir, credir ei fod yn gysylltiedig â firws herpes dynol 6 neu firws herpes dynol 7. Nid yw'n ymddangos ei fod yn heintus. Gall rhai meddyginiaethau arwain at frech tebyg. Mae diagnosis yn seiliedig ar y symptomau ac nid oes angen biopsi fel arfer.
Fel clefyd cyffredin, mae tua 1.3% o bobl yn cael eu heffeithio ar ryw adeg. Mae'n digwydd amlaf yn y rhai rhwng 10 a 35 oed.
○ Diagnosis a Thriniaeth
Os bydd yn parhau am fwy nag 1 mis, efallai y bydd angen gwaith manwl i'w wahaniaethu oddi wrth glefydau eraill (parapsoriasis, syffilis).
#Phototherapy
#OTC steroid ointment