At Clinic: Pityriasis Rosea or Dermatophytoses?
| Main Author: | Ardhie, Ari Muhandari; Harapan Kita Children & Women Hospital, Jakarta |
|---|---|
| Format: | application/pdf eJournal |
| Bahasa: | eng |
| Terbitan: |
Journal of the Indonesian Medical Association
, 2008
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| Online Access: |
http://indonesia.digitaljournals.org/index.php/idnmed/article/view/603 |
Daftar Isi:
- Pityriasis rosea (PR) is a self limiting papuloerithrosquamous skin disease which goes away in 8 to 12 weeks. The exact cause is unclear, although the cause may be a viral infection. PR has been linked to upper respiratory tract infections. Since it is not contagious there is no reason to avoid close contact.PR typically begins with a large, slightly raised, scaly patch — called the herald patch — on back, chest or abdomen and then within a week or two more erythematous patches will spread on the body and on the arms and legs. These patches often form a pattern over the back resembling the outline of an evergreen tree with dropping branches. Thorough explanation for patient is important. Treatment may include topical anti inflammation and oral medications for relieve itching. For active patients, non sedating antihistamine is preferred. The addition of antibiotic erythromycin have been claimed to produce healing in one to two weeks. Dermatophytoses as a differential diagnosis is skin infection caused by a variety of dermatophytes. Tinea corporis which is an infections of the body begin as flat, scaly, and often pruritic macules that subsequently develop a raised border and begin to spread radially. As the ring expands, the central portion of the lesion often clears. This central clearing of lesion is characteristic for clinical diagnosis. Topical or oral antimycotic therapy is drug of choice.Keywords: Pityriasis rosea, herald patch, dermatophytoses, central clearing.