Pityriasis rosea Classification & external resources
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An oval rash of Pityriasis Rosea
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ICD-10
| L42.
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ICD-9
| 696.3
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MedlinePlus
| 000871
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eMedicine
| EMERG/426
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Pityriasis rosea is a skin disease marked by patches of pink, oval rash. Although its exact cause is unknown and its onset is not linked to food, medicines or stress, it is thought that this essentially non-contagious condition is set off by a virus. Pityriasis rosea can affect members of either sex of any age. However, it is most common in females and those between the ages of 8 and 35. Symptoms only recur in 3% of the affected.
Additional recommended knowledge
Symptoms and Treatment
The symptoms of this condition include:
- Pink and flaky oval-shaped rash, similar to ringworm
- A single "herald" patch may occur 1 to 20 days before smaller, more numerous patches of rash. It has also been known for the "herald" patch either not to be noticed or not to exist. Other "herald" patches may appear as a cluster of smaller oval spots rather than a single patch.
- Often occurs in patches arranged in a triangular pattern, like a "Christmas tree"
- 25% of people with Pityriasis Rosea get mild to severe itching. This fades as the rash develops
- May be accompanied by headache, fever, nausea and fatigue
- Other less common symptoms include reduction in sweat gland activity and the clearance of acne
These rashes are often found on the back, chest/stomach, inner thighs, inner upper arms and inner forearms. It has been seen occasionally on the palms of the hands. Usually it does not affect the face; however a few blemishes may be found on the cheeks.
In the majority of cases, there is no treatment as the disease is self-limiting. [1] Irritants such as soap, should be avoided. Topical calamine lotion and/or oral antihistamines can help with itching. In severe cases, topical or oral steroids may be used. UV therapy and exposure to sunlight may help in some cases.
See also
- Ringworm
- Pityriasis - for list of similarly named flaky skin conditions
- Links to pityriasis rosea pictures (Hardin MD/Univ of Iowa)
- Go Ask Alice Health Advice from Columbia University
- American Osteopathic College of Dermatology
Diseases of the skin and subcutaneous tissue (integumentary system) (L, 680-709) |
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Infections | Staphylococcus (Staphylococcal scalded skin syndrome, Impetigo, Boil, Carbuncle) - Cellulitis (Paronychia) - Acute lymphadenitis - Pilonidal cyst - Corynebacterium (Erythrasma) |
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Bullous disorders | Pemphigus - Pemphigoid (Bullous pemphigoid) - Dermatitis herpetiformis |
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Dermatitis and eczema | Atopic dermatitis - Seborrhoeic dermatitis (Dandruff, Cradle cap) - Diaper rash - Urushiol-induced contact dermatitis - Contact dermatitis - Erythroderma - Lichen simplex chronicus - Prurigo nodularis - Itch - Pruritus ani - Nummular dermatitis - Dyshidrosis - Pityriasis alba |
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Papulosquamous disorders | Psoriasis (Psoriatic arthritis) - Parapsoriasis (Pityriasis lichenoides et varioliformis acuta, Pityriasis lichenoides chronica) - Pityriasis rosea - Lichen planus - Pityriasis rubra pilaris - Lichen nitidus |
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Urticaria and erythema | Urticaria (Dermatographic urticaria, Cholinergic urticaria) - Erythema (Erythema multiforme, Stevens-Johnson syndrome, Toxic epidermal necrolysis, Erythema nodosum, Erythema annulare centrifugum, Erythema marginatum) |
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Radiation-related disorders | Sunburn - Actinic keratosis - Polymorphous light eruption - Radiodermatitis - Erythema ab igne |
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Disorders of skin appendages | nail disease: Ingrown nail - Onychogryposis - Beau's lines - Yellow nail syndrome
hair loss: Alopecia areata (Alopecia totalis, Alopecia universalis, Ophiasis) - Androgenic alopecia - Telogen effluvium - Traction alopecia - Lichen planopilaris - Trichorrhexis nodosa
other follicular disorders: Hypertrichosis (Hirsutism) - Acne vulgaris - Rosacea (Perioral dermatitis, Rhinophyma) - follicular cysts (Epidermoid cyst, Sebaceous cyst, Steatocystoma multiplex) - Pseudofolliculitis barbae - Hidradenitis suppurativa
sweat disorders: eccrine (Miliaria, Anhidrosis) - apocrine (Body odor, Chromhidrosis, Fox-Fordyce disease) |
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Other | pigmentation (Vitiligo, Melasma, Freckle, Café au lait spot, Lentigo/Liver spot) - Seborrheic keratosis - Acanthosis nigricans - Callus - Pyoderma gangrenosum - Bedsore - Keloid - Granuloma annulare - Necrobiosis lipoidica - Granuloma faciale - Lupus erythematosus - Morphea - Calcinosis cutis - Sclerodactyly - Ainhum - Livedoid vasculitis |
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see also congenital (Q80-Q84, 757) |
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