Pityriasis rosea
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Pityriasis rosea tagaküljel ― Asümptomaatilised laigud ja laigud, erinevalt ravimite lööbetest, mis tavaliselt sügelevad.
Kui see väga sügeleb, võite kahtlustada allergilist haigust, näiteks nummular eczema.
References
Pityriasis rosea on ajutine nahahaigus, mida iseloomustavad kõrgenenud laigud ja soomused. Tavaliselt algab see ühe plaastriga, mida nimetatakse herald patch , millele järgneb järgmise paari nädala jooksul rohkem plaastreid. Siiski ei ole kõigil, kellel on pityriasis rosea, see esialgne plaaster. Need laigud moodustavad tüvele ja ülajäsemetele sageli jõulupuuga sarnase mustri.
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.
Pityriasis rosea on tavaline lööve, mis tavaliselt algab ühest plaastrist kehatüvel ja levib kehatüvele ja jäsemetele. Diagnoos põhineb kliinilisel läbivaatusel. Esialgne plaaster näib punane kõrgendatud äärisega ja sissevajunud keskosaga. Lööve ilmneb tavaliselt umbes kaks nädalat hiljem. Patsientidel võivad koos lööbega tekkida väsimus, iiveldus, peavalud, liigesevalu, lümfisõlmede turse, palavik ja kurguvalu. Sarnaste haiguste hulka kuuluvad süüfilis, seborroiline dermatiit, ekseem ja teised. Ravi eesmärk on sümptomite leevendamine kortikosteroidide või antihistamiinikumidega. Mõnel juhul võib atsükloviir aidata. Rasketel juhtudel võib UV-fototeraapiast kasu olla. Raseduse ajal esinevat haigust on mõnikord seostatud raseduse katkemisega.
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.
Pityriasis rosea on tavaline nahahaigus, mis esineb tavaliselt teismelistel ja noortel täiskasvanutel (vanuses 10–35) , veidi sagedamini naistel. See algab ootamatult, tavaliselt ühe laiguga, mida nimetatakse herald patch kehatüvel, millele järgneb väikeste roosakate ovaalsete laikude lööve, mida ümbritseb hallikas rõngas. Need laigud moodustavad sageli tüvele mustri, mis meenutab Christmas tree. Lööve kestab tavaliselt umbes 6 kuni 8 nädalat. Pityriasis rosea mõjutab umbes 0,68% inimestest, kes pöörduvad dermatoloogi poole, kuid see võib varieeruda 0,39% kuni 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%.
Kuigi põhjus pole täiesti selge, arvatakse, et see on seotud inimese herpesviirusega 6 või inimese herpesviirusega 7. See ei tundu olevat nakkav. Teatud ravimid võivad põhjustada sarnast löövet. Diagnoos põhineb sümptomitel ja biopsia pole tavaliselt vajalik.
Tavalise haigusena mõjutab seda mingil ajahetkel umbes 1,3% inimestest. Kõige sagedamini esineb see 10–35-aastastel inimestel.
○ Diagnostika ja ravi
Kui see püsib kauem kui 1 kuu, võib osutuda vajalikuks üksikasjalik uuring, et eristada seda teistest haigustest (parapsoriaas, süüfilis).
#Phototherapy
#OTC steroid ointment