Pityriasis rosea
☆ Vo výsledkoch Stiftung Warentest z Nemecka za rok 2022 bola spokojnosť spotrebiteľov s ModelDerm len o niečo nižšia ako s platenými telemedicínskymi konzultáciami.
Pityriasis rosea na chrbte ― Asymptomatické makuly a fľaky, na rozdiel od drogových erupcií, ktoré zvyčajne svrbia.
Ak to veľmi svrbí, môžete mať podozrenie na alergické ochorenie, ako je nummular eczema.
References
Pityriasis rosea je dočasný stav kože, ktorý sa vyznačuje vyvýšenými fľakmi a šupinami. Zvyčajne to začína jednou náplasťou, známou ako herald patch , po ktorej nasledujú ďalšie náplasti, ktoré sa objavia v priebehu niekoľkých nasledujúcich týždňov. Avšak nie každý s pityriasis rosea bude mať túto počiatočnú náplasť. Tieto záplaty často tvoria výrazný vzor pripomínajúci vianočný stromček na trupe a horných končatinách.
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 je bežná vyrážka, ktorá zvyčajne začína jednou škvrnou na trupe a šíri sa tak, aby pokrývala trup a končatiny. Diagnóza sa opiera o klinické vyšetrenie. Počiatočná škvrna sa javí ako červená so zvýšeným okrajom a vpadnutým stredom. Vyrážka sa zvyčajne objaví asi o dva týždne neskôr. Pacienti môžu popri vyrážke pociťovať únavu, nevoľnosť, bolesti hlavy, kĺbov, opuchnuté lymfatické uzliny, horúčku a bolesť hrdla. Medzi podobné stavy patrí syfilis, seboroická dermatitída, ekzém a iné. Liečba je zameraná na zmiernenie príznakov kortikosteroidmi alebo antihistaminikami. Acyclovir môže v niektorých prípadoch pomôcť. Ťažké prípady môžu mať prospech z UV fototerapie. Choroba počas tehotenstva bola niekedy spojená s potratom.
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 je bežné kožné ochorenie, ktoré zvyčajne postihuje tínedžerov a mladých dospelých (vo veku 10 – 35 rokov) , o niečo viac u žien. Začína náhle, zvyčajne jedinou škvrnou známou ako herald patch na trupe, po ktorej nasleduje vyrážka malých ružovkastých oválnych škvŕn obklopených sivastým prstencom. Tieto škvrny často tvoria vzor pripomínajúci Christmas tree na trupe. Vyrážka zvyčajne trvá približne 6 až 8 týždňov. Pityriasis rosea postihuje asi 0,68 % ľudí, ktorí navštívia dermatológa, ale môže sa to líšiť od 0,39 % do 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%.
Aj keď príčina nie je úplne jasná, predpokladá sa, že súvisí s ľudským herpesvírusom 6 alebo ľudským herpesvírusom 7. Nezdá sa, že by bol nákazlivý. Niektoré lieky môžu spôsobiť podobnú vyrážku. Diagnóza je založená na symptómoch a biopsia je zvyčajne zbytočná.
Ako bežná choroba je v určitom čase postihnutých asi 1,3 % ľudí. Najčastejšie sa vyskytuje u ľudí vo veku od 10 do 35 rokov.
○ Diagnostika a liečba
Ak pretrváva dlhšie ako 1 mesiac, môže byť potrebné podrobné vyšetrenie na odlíšenie od iných ochorení (parapsoriáza, syfilis).
#Phototherapy
#OTC steroid ointment