Pityriasis rosea
https://en.wikipedia.org/wiki/Pityriasis_rosea
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References
Pityriasis Rosea 28846360 NIH
Pityriasis rosea is in tydlike hûdbetingsten markearre troch ferhege patches en skalen. It begjint normaal mei in inkele patch, bekend as de herald patch , folge troch mear patches dy't de kommende pear wiken ferskine. Net elkenien mei pityriasis rosea sil lykwols dizze earste patch hawwe. Dizze patches foarmje faak in ûnderskiedend patroan dat liket op in krystbeam op 'e romp en boppeste ledematen.
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 is in gewoane útslach dy't normaal begjint mei in inkele patch op 'e romp en ferspriedt om de romp en ledematen te dekken. Diagnoaze is basearre op klinysk ûndersyk. De earste patch ferskynt read mei in ferhege grins en sonken sintrum. De útslach ûntstiet typysk sawat twa wiken letter. Pasjinten kinne ûnderfine wurgens, wearze, hoofdpijn, gewrichtspine, swollen lymfeklieren, koarts, en seare kiel neist de útslach. Fergelykbere betingsten omfetsje syfilis, seborrheyske dermatitis, eczeem, en oaren. Behanneling hat as doel om symptomen te ferleegjen mei corticosteroids of antihistaminen. Acyclovir kin yn guon gefallen helpe. Swiere gefallen kinne profitearje fan UV-fototerapy. De sykte yn 'e swierens is soms keppele oan miskream.
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 is in gewoane hûdkondysje dy't typysk teeners en jonge folwoeksenen (fan 10-35 jier âld) treft, wat mear by froulju. It begjint ynienen, meastentiids mei in inkele patch bekend as in Herald patch op 'e romp, folge troch in útslach fan lytse, rôze ovale plakjes omjûn troch in grize ring. Dizze plakken foarmje faak in patroan dat liket op in Christmas tree op 'e romp. De útslach duorret normaal sawat 6 oant 8 wiken. Pityriasis rosea hat ynfloed op sawat 0,68% fan minsken dy't in dermatolooch sjogge, mar dit kin fariearje fan 0,39% oant 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%.
Hoewol de oarsaak net hielendal dúdlik is, wurdt leaud dat it relatearre is oan minsklik herpesvirus 6 of minsklik herpesvirus 7. It liket net besmetlik te wêzen. Bepaalde medisinen kinne resultearje yn in ferlykbere útslach. Diagnoaze is basearre op de symptomen en in biopsie is meastentiids net nedich.
As in mienskiplike sykte wurdt sa'n 1,3% fan 'e minsken op in stuit yn' e tiid troffen. It komt meast foar by minsken tusken de 10 en 35 jier.
○ Diagnose en behanneling
As it oanhâldt foar mear as 1 moanne, kin in detaillearre work-up nedich wêze om it te ûnderskieden fan oare sykten (parapsoriasis, syfilis).
#Phototherapy
#OTC steroid ointment