Pityriasis rosea
☆ 2022 m. Stiftung Warentest iš Vokietijos rezultatai rodo, kad vartotojų pasitenkinimas ModelDerm buvo tik šiek tiek mažesnis nei mokamų nuotolinės medicinos konsultacijų.
Pityriasis rosea ant nugaros ― Besimptomės dėmės ir dėmės, skirtingai nuo vaistų išsiveržimų, kurie paprastai niežti.
Jei labai niežti, galite įtarti alerginę ligą, pvz., nummular eczema.
References
Pityriasis rosea yra laikina odos būklė, kuriai būdingi iškilę lopai ir žvyneliai. Paprastai jis prasideda vienu pleistru, vadinamu herald patch , po kurio per ateinančias kelias savaites atsiranda daugiau pleistrų. Tačiau ne visi, sergantys pityriasis rosea, turės šį pradinį pleistrą. Šie lopai ant kamieno ir viršutinių galūnių dažnai sudaro išskirtinį raštą, primenantį Kalėdų eglutę.
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 yra dažnas bėrimas, kuris paprastai prasideda vienu pleistru ant kamieno ir išplinta iki liemens ir galūnių. Diagnozė priklauso nuo klinikinio tyrimo. Pradinis pleistras atrodo raudonas su iškilusiu kraštu ir įdubusiu centru. Bėrimas paprastai atsiranda maždaug po dviejų savaičių. Kartu su bėrimu pacientai gali jausti nuovargį, pykinimą, galvos skausmą, sąnarių skausmą, limfmazgių padidėjimą, karščiavimą ir gerklės skausmą. Panašios būklės yra sifilis, seborėjinis dermatitas, egzema ir kt. Gydymo tikslas yra palengvinti simptomus kortikosteroidais arba antihistamininiais vaistais. Kai kuriais atvejais acikloviras gali padėti. Sunkiais atvejais gali būti naudinga UV fototerapija. Liga nėštumo metu kartais buvo siejama su persileidimu.
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 yra dažna odos liga, kuri dažniausiai pasireiškia paaugliams ir jauniems suaugusiems (10–35 metų amžiaus) , šiek tiek dažniau moterims. Jis prasideda staiga, paprastai ant kamieno atsiranda vienas lopas, vadinamas herald patch , po kurio atsiranda bėrimas mažomis rausvomis ovaliomis dėmėmis, apsuptomis pilkšvu žiedu. Šios dėmės dažnai sudaro raštą, panašų į Christmas tree ant kamieno. Bėrimas paprastai trunka apie 6–8 savaites. Pityriasis rosea paveikia apie 0,68 % žmonių, besikreipiančių į dermatologą, tačiau tai gali svyruoti nuo 0,39 % iki 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%.
Nors priežastis nėra visiškai aiški, manoma, kad ji yra susijusi su žmogaus herpes virusu 6 arba žmogaus herpes virusu 7. Atrodo, kad jis nėra užkrečiamas. Kai kurie vaistai gali sukelti panašų bėrimą. Diagnozė pagrįsta simptomais, o biopsija paprastai nereikalinga.
Kaip dažna liga, tam tikru metu serga apie 1,3% žmonių. Dažniausiai tai pasireiškia 10–35 metų amžiaus žmonėms.
○ Diagnostika ir gydymas
Jei jis tęsiasi ilgiau nei 1 mėnesį, gali prireikti atlikti išsamų tyrimą, kad jis būtų atskirtas nuo kitų ligų (parapsoriazės, sifilio).
#Phototherapy
#OTC steroid ointment