Pityriasis rosea - Pitiriasis Rosea
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Pitiriasis Rosea (Pityriasis rosea) di punggung ― Makula dan bercak tanpa gejala, berbeda dengan erupsi obat yang biasanya terasa gatal.
Jika sangat gatal, mungkin Anda mencurigai adanya penyakit alergi seperti nummular eczema.
References
Pityriasis rosea adalah kondisi kulit sementara yang ditandai dengan munculnya bercak dan sisik. Biasanya dimulai dengan satu patch, yang dikenal sebagai herald patch , diikuti oleh lebih banyak patch yang muncul dalam beberapa minggu berikutnya. Namun, tidak semua penderita pitiriasis rosea akan mengalami gejala awal ini. Bercak ini seringkali membentuk pola khas menyerupai pohon natal pada batang dan tungkai atas.
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 adalah ruam umum yang biasanya dimulai dengan satu bercak di batang tubuh dan menyebar hingga menutupi batang tubuh dan anggota badan. Diagnosis bergantung pada pemeriksaan klinis. Tambalan awal tampak berwarna merah dengan batas terangkat dan bagian tengah cekung. Ruam biasanya muncul sekitar dua minggu kemudian. Pasien mungkin mengalami kelelahan, mual, sakit kepala, nyeri sendi, pembengkakan kelenjar getah bening, demam, dan sakit tenggorokan di samping ruam. Kondisi serupa antara lain sifilis, dermatitis seboroik, eksim, dan lain-lain. Pengobatan bertujuan untuk meringankan gejala dengan kortikosteroid atau antihistamin. Asiklovir dapat membantu dalam beberapa kasus. Kasus yang parah mungkin mendapat manfaat dari fototerapi UV. Penyakit saat hamil terkadang dikaitkan dengan keguguran.
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 adalah kondisi kulit umum yang biasanya menyerang remaja dan dewasa muda (usia 10-35) , dan lebih banyak menyerang wanita. Penyakit ini dimulai secara tiba-tiba, biasanya dengan bercak tunggal yang dikenal sebagai herald patch di batang tubuh, diikuti dengan bintik-bintik oval kecil berwarna merah muda yang dikelilingi oleh cincin keabu-abuan. Bintik-bintik ini seringkali membentuk pola menyerupai Christmas tree pada batangnya. Ruam biasanya berlangsung sekitar 6 hingga 8 minggu. Pityriasis rosea mempengaruhi sekitar 0,68% orang yang menemui dokter kulit, namun hal ini dapat bervariasi dari 0,39% hingga 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%.
Meskipun penyebabnya tidak sepenuhnya jelas, penyakit ini diyakini terkait dengan human herpesvirus 6 atau human herpesvirus 7. Tampaknya penyakit ini tidak menular. Obat-obatan tertentu dapat menyebabkan ruam serupa. Diagnosis didasarkan pada gejala dan biopsi biasanya tidak diperlukan.
Sebagai penyakit umum, sekitar 1,3% orang terkena penyakit ini pada suatu saat. Ini paling sering terjadi pada mereka yang berusia antara 10 dan 35 tahun.
○ Diagnosis dan Pengobatan
Jika penyakit ini menetap lebih dari 1 bulan, pemeriksaan menyeluruh mungkin diperlukan untuk membedakannya dari penyakit lain (parapsoriasis, sifilis).
#Phototherapy
#OTC steroid ointment