Pityriasis rosea
☆ 2022. gada Stiftung Warentest rezultātos no Vācijas patērētāju apmierinātība ar ModelDerm bija tikai nedaudz zemāka nekā ar maksas telemedicīnas konsultācijām.
Pityriasis rosea uz muguras ― Asimptomātiskas makulas un plankumi, atšķirībā no zāļu izvirdumiem, kas parasti niez.
Ja tas ļoti niez, jums var būt aizdomas par alerģisku slimību, piemēram, nummular eczema.
References
Pityriasis rosea ir īslaicīgs ādas stāvoklis, ko raksturo paaugstināti plankumi un zvīņas. Parasti tas sākas ar vienu plāksteri, kas pazīstams kā herald patch , kam seko vairāk ielāpu parādīšanās nākamo pāris nedēļu laikā. Tomēr ne visiem, kam ir pityriasis rosea, būs šis sākotnējais plāksteris. Šie plankumi uz stumbra un augšējām ekstremitātēm bieži veido raksturīgu zīmējumu, kas atgādina Ziemassvētku eglīti.
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 ir bieži sastopami izsitumi, kas parasti sākas ar vienu plāksteri uz stumbra un izplatās, aptverot stumbru un ekstremitātes. Diagnoze balstās uz klīnisko izmeklēšanu. Sākotnējais plāksteris izskatās sarkans ar paaugstinātu apmali un iegrimis centru. Izsitumi parasti parādās apmēram pēc divām nedēļām. Līdztekus izsitumiem pacientiem var būt nogurums, slikta dūša, galvassāpes, locītavu sāpes, limfmezglu pietūkums, drudzis un iekaisis kakls. Līdzīgi stāvokļi ir sifiliss, seborejas dermatīts, ekzēma un citi. Ārstēšanas mērķis ir mazināt simptomus ar kortikosteroīdiem vai antihistamīna līdzekļiem. Dažos gadījumos var palīdzēt aciklovirs. Smagos gadījumos var noderēt UV fototerapija. Slimība grūtniecības laikā dažkārt ir saistīta ar spontānu abortu.
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 ir izplatīta ādas slimība, kas parasti skar pusaudžus un jaunus pieaugušos (vecumā no 10 līdz 35 gadiem) , nedaudz biežāk sievietēm. Tas sākas pēkšņi, parasti ar vienu plankumu, kas pazīstams kā herald patch uz stumbra, kam seko mazi, sārti ovāli plankumi, ko ieskauj pelēcīgs gredzens. Šie plankumi bieži veido rakstu, kas atgādina Christmas tree uz stumbra. Izsitumi parasti ilgst apmēram 6 līdz 8 nedēļas. Pityriasis rosea skar aptuveni 0,68% cilvēku, kas vēršas pie dermatologa, taču tas var svārstīties no 0,39% līdz 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%.
Lai gan cēlonis nav pilnībā skaidrs, tiek uzskatīts, ka tas ir saistīts ar cilvēka herpesvīrusu 6 vai cilvēka herpesvīrusu 7. Šķiet, ka tas nav lipīgs. Dažas zāles var izraisīt līdzīgus izsitumus. Diagnoze balstās uz simptomiem, un biopsija parasti nav nepieciešama.
Kā izplatīta slimība, aptuveni 1,3% cilvēku kādā brīdī tiek skarti. Visbiežāk tas notiek vecumā no 10 līdz 35 gadiem.
○ Diagnostika un ārstēšana
Ja tas saglabājas ilgāk par 1 mēnesi, var būt nepieciešama detalizēta pārbaude, lai to atšķirtu no citām slimībām (parapsoriāze, sifiliss).
#Phototherapy
#OTC steroid ointment