Pityriasis rosea
☆ Nos resultados do Stiftung Warentest de 2022 da Alemanha, a satisfação do consumidor com o ModelDerm foi apenas ligeiramente inferior do que com as consultas pagas de telemedicina.
Pityriasis rosea nas costas ― Máculas e manchas assintomáticas, ao contrário das erupções medicamentosas que geralmente coçam.
Se coçar muito, você pode suspeitar de uma doença alérgica como nummular eczema.
References
Pityriasis rosea é uma doença temporária da pele marcada por manchas e escamas elevadas. Geralmente começa com um único patch, conhecido como herald patch , seguido por mais patches aparecendo nas próximas semanas. No entanto, nem todas as pessoas com pitiríase rósea terão este adesivo inicial. Essas manchas geralmente formam um padrão distinto semelhante a uma árvore de Natal no tronco e nos membros superiores.
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 é uma erupção cutânea comum que geralmente começa com uma única mancha no tronco e se espalha para cobrir o tronco e os membros. O diagnóstico depende do exame clínico. A mancha inicial aparece vermelha com uma borda elevada e centro afundado. A erupção geralmente surge cerca de duas semanas depois. Os pacientes podem sentir fadiga, náusea, dores de cabeça, dores nas articulações, gânglios linfáticos inchados, febre e dor de garganta junto com a erupção cutânea. Condições semelhantes incluem sífilis, dermatite seborréica, eczema e outras. O tratamento visa aliviar os sintomas com corticosteróides ou anti-histamínicos. O aciclovir pode ajudar em alguns casos. Casos graves podem se beneficiar da fototerapia UV. A doença durante a gravidez às vezes tem sido associada ao aborto espontâneo.
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 é uma doença de pele comum que geralmente afeta adolescentes e adultos jovens (de 10 a 35 anos) , um pouco mais em mulheres. Começa repentinamente, geralmente com uma única mancha conhecida como herald patch no tronco, seguida por uma erupção de pequenas manchas ovais rosadas cercadas por um anel acinzentado. Essas manchas geralmente formam um padrão semelhante a um Christmas tree no tronco. A erupção geralmente dura cerca de 6 a 8 semanas. Pityriasis rosea afeta cerca de 0,68% das pessoas que consultam um dermatologista, mas isso pode variar de 0,39% a 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%.
Embora a causa não seja totalmente clara, acredita-se que esteja relacionada ao herpesvírus humano 6 ou ao herpesvírus humano 7. Não parece ser contagioso. Certos medicamentos podem resultar em erupção cutânea semelhante. O diagnóstico é baseado nos sintomas e uma biópsia geralmente é desnecessária.
Sendo uma doença comum, cerca de 1,3% das pessoas são afetadas em algum momento. Ocorre com mais frequência em pessoas entre 10 e 35 anos.
○ Diagnóstico e Tratamento
Se persistir por mais de 1 mês, pode ser necessária uma investigação detalhada para diferenciá-la de outras doenças (parapsoríase, sífilis).
#Phototherapy
#OTC steroid ointment