Pityriasis rosea
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Pityriasis rosea á bakinu ― Einkennalausir flekkir og blettir, ólíkt lyfjagosum sem venjulega klæja.
Ef það klæjar mikið gætirðu grunað ofnæmissjúkdóm eins og nummular eczema.
References
Pityriasis rosea er tímabundinn húðsjúkdómur sem einkennist af upphækkuðum blettum og hreistum. Það byrjar venjulega með einum plástri, þekktur sem herald patch , fylgt eftir með því að fleiri plástrar birtast á næstu vikum. Hins vegar munu ekki allir með pityriasis rosea hafa þennan upphafsplástur. Þessir blettir mynda oft áberandi mynstur sem líkist jólatré á stofni og efri útlimum.
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 eru algeng útbrot sem byrja venjulega með einum plástri á bolnum og dreifast til að hylja bol og útlimi. Greining byggir á klínískri skoðun. Upphafsbletturinn virðist rauður með upphækkuðum ramma og niðursokkinni miðju. Útbrotin koma venjulega fram um það bil tveimur vikum síðar. Sjúklingar geta fundið fyrir þreytu, ógleði, höfuðverk, liðverkjum, bólgnum eitlum, hita og hálsbólgu samhliða útbrotunum. Svipaðar aðstæður eru sárasótt, seborrheic húðbólga, exem og aðrir. Meðferð miðar að því að draga úr einkennum með barksterum eða andhistamínum. Acyclovir getur hjálpað í sumum tilfellum. Alvarleg tilvik geta haft gagn af UV ljósameðferð. Sjúkdómurinn á meðgöngu hefur stundum verið tengdur við fósturlát.
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 er algengur húðsjúkdómur sem hefur venjulega áhrif á unglinga og unga fullorðna (á aldrinum 10-35) , aðeins meira hjá konum. Það byrjar skyndilega, venjulega með einum plástri sem kallast Herald patch á bolnum, á eftir koma útbrot af litlum, bleikleitum sporöskjulaga blettum umkringdar gráleitum hring. Þessir blettir mynda oft mynstur sem líkist Christmas tree á bolnum. Útbrotin vara venjulega í um 6 til 8 vikur. Pityriasis rosea hefur áhrif á um 0,68% fólks sem leitar til húðsjúkdómalæknis, en þetta getur verið breytilegt frá 0,39% til 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%.
Þó að orsökin sé ekki alveg ljós, er talið að það tengist herpesveiru manna 6 eða herpesveiru manna 7. Það virðist ekki vera smitandi. Ákveðin lyf geta valdið svipuðum útbrotum. Greining er byggð á einkennum og vefjasýni er yfirleitt óþarft.
Sem algengur sjúkdómur eru um 1,3% fólks fyrir áhrifum á einhverjum tímapunkti. Það kemur oftast fram hjá þeim á aldrinum 10 til 35 ára.
○ Greining og meðferð
Ef það er viðvarandi í meira en 1 mánuð getur verið þörf á nákvæmri vinnu til að aðgreina hann frá öðrum sjúkdómum (parapsoriasis, sárasótt).
#Phototherapy
#OTC steroid ointment