Pityriasis rosea - Pitiriasia Arrosa
https://en.wikipedia.org/wiki/Pityriasis_rosea
☆ Alemaniako Stiftung Warentest-en 2022ko emaitzetan, ModelDerm-ekin kontsumitzaileen gogobetetasuna apur bat txikiagoa izan zen ordaindutako telemedikuntzako kontsultekin baino. relevance score : -100.0%
References
Pityriasis Rosea 28846360 NIH
Pityriasis rosea adabaki eta ezkata altxatuek markatutako azaleko aldi baterako egoera bat da. Normalean adabaki bakar batekin hasten da, herald patch izenez ezagutzen dena, eta ondoren adabaki gehiago agertuko dira hurrengo asteetan. Hala ere, pitiriasia arrosa duten guztiek ez dute hasierako adabaki hau izango. Adabaki hauek sarritan Gabonetako zuhaitz baten antzeko eredu bereizgarria osatzen dute enborrean eta goiko gorputz-adarretan.
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.
Gianotti-Crosti syndrome, pityriasis rosea, asymmetrical periflexural exanthem, unilateral mediothoracic exanthem, eruptive pseudoangiomatosis, and papular-purpuric gloves and socks syndrome: a brief review and arguments for diagnostic criteria 24470919 NIH
Pityriasis Rosea: Diagnosis and Treatment. 29365241Pityriasis rosea erupzio arrunta da, normalean enborrean adabaki bakar batekin hasi eta enborra eta gorputz-adarrak estaltzeko hedatzen dena. Diagnostikoa azterketa klinikoan oinarritzen da. Hasierako adabakia gorria agertzen da ertz goratuarekin eta erdialde hondoratuta. Erupzioa normalean bi aste geroago sortzen da. Pazienteek nekea, goragalea, buruko mina, artikulazioetako mina, nodo linfatikoak puztuta, sukarra eta eztarriko mina izan ditzakete rasharekin batera. Antzeko baldintzen artean sifilisa, dermatitis seborreikoa, ekzema eta beste batzuk daude. Tratamenduak kortikoideekin edo antihistaminikoekin sintomak arintzea du helburu. Acyclovir-ek kasu batzuetan lagun dezake. Kasu larrietan UV fototerapia onuragarria izan daiteke. Haurdunaldian gaixotasuna batzuetan abortuarekin lotuta egon da.
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 in pregnancy: A case series and literature review 35616213 NIH
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.
Clinical variants of pityriasis rosea 28685133 NIH
Pityriasis rosea larruazaleko gaixotasun arrunta da, normalean nerabeei eta heldu gazteei (10-35 urte bitartekoak) eragiten diena, emakumezkoetan apur bat gehiago. Bat-batean hasten da, normalean enborrean herald patch izenez ezagutzen den adabaki bakar batekin, eta ondoren, eraztun grisaxka batez inguratutako orban arrosaxka txiki eta obaloez osatuta dago. Leku horiek askotan Christmas tree baten antza duen eredua osatzen dute enborrean. Erupzioak 6 eta 8 aste inguru irauten du normalean. Pityriasis rosea dermatologoa ikusten duten pertsonen %0,68 ingururi eragiten dio, baina %0,39tik %4,8ra alda daiteke.
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%.
Kausa guztiz argia ez dagoen arren, uste da giza herpesbirus 6 edo giza herpesbirus 7arekin erlazionatuta dagoela. Ez dirudi kutsakorra denik. Zenbait sendagaiek antzeko rash bat eragin dezakete. Diagnostikoa sintometan oinarritzen da eta normalean biopsia ez da beharrezkoa.
Gaixotasun arrunta den heinean, pertsonen % 1,3 inguru jasaten da uneren batean. Gehienetan 10 eta 35 urte bitartekoetan gertatzen da.
○ Diagnostikoa eta Tratamendua
Hilabete baino gehiago irauten badu, azterketa zehatza egin behar da beste gaixotasunetatik bereizteko (parapsoriasia, sifilisa).
#Phototherapy
#OTC steroid ointment