PITYRIASIS ROSEA

Amanda Junod Rumalatu (2011-83-010)

Supervisor :
dr. Hanny Tanasal, Sp.KK

PRESENTED AS AN ASSIGNMENT TO FULFILL REQUIREMENTS OF CLINICAL CO-ASSISTANCE

IN DEPARTMENT OF DERMATOVENEOROLOGY RSUD DR. M HAULUSSY
MEDICAL FACULTY OF PATTIMURA UNIVERSITY
AMBON
2016
 ABSTRACT

Etiology of pytiriasis rosea is unknown

Initial lesions of erythema and scaling-shaped
smooth (herald patch) which was followed by
lesions that are smaller in body, arms, and upper
thighs are organized in the skin folds
Most often last for 4-8 weeks and symptoms may
disappear in 3 -12 weeks
 The term Pityriasis rosea was first used by Gibert
in 1860  pink (rosea), scales (pytiriasis)
Most commonly occurs between 15-40 years 
Female = male
Prodormal Symptom :
Malaise, headache, fever, arthralgias, lymphadenitis
 Differential Diagnosis :
Secondary syphilis, numularis dermatitis, etc.
 Pityriasis rosea is self limiting disease, there is need
supportive treatment
 DEFINITION

 The term Pityrasis rosea means : pink (rosea) and

scales (pityriasis)
Pityriasis rosea is a mild inflammatory exanthem
characterized by salmon-colored papular and
macular lesions that are at first discrete but may
become confluent.
When stretched across the long axis, the scales
tend to fold across the lines of stretch, the so-
called “hanging curtain” sign.
The disease most frequently begins with a
single herald or mother patch usually larger
than succeeding lesions.
 EPIDEMIOLOGY

 More than 75% of patient are between the ages of

10 and 35 years
The disease is more common in children and young
adults
Incidence in male and female almost the same
 ETIOLOGY & PATHOGENESIS

• Viral etiology :
Human herpes virus 6 (HHV-6) and human herpes
virus 7 (HHV-7)
• Like eruption may occur as a reaction to :
captopril, interferon, arsenicals, gold, bismuth,
clonidine, ergotamine, lisinopril, barbiturates, etc.
 CLINICAL SYMPTOM
1. Classic Symptom

Primary lesion : macular erythematous or

erythematous papules on body or neck,
Which gradually will be higher in a few days with a
diameter of 2-10 cm, pink salmon, oval-shaped with
a thin scaly.
Firstlesions appear is called the Herald patch /
plaque Mother / Medalion
When stretched across the long axis, the scales tend
to fold across the lines of stretch, the so-called
“hanging curtain” sign.
 Eff : Macular oval plaques measuring up to 0.5-2
cm with a slightly raised edge. The color pink
salmon (or in the form of hyperpigmentation in
people with dark skin) and typically are koleret of
scaling the edges
Prodormal Symptom :
Malaise, headache, fever, arthralgias, lymphadenitis
 After 1-2 week  generalized lesions 
Christmas tree
 2. Atypical Symptom
 Found lesions don’t appropriate in pityriasis rosea
lesions  not found herald patch
 More varied forms of lesions : Urtica, erythema
multiforme, purpura, pustules and vesicular
The distribution of lesions usually spread to the
axilla, face, hand and foot
 VARIATION OF PITYRIASIS
ROSEA

Pitiriasis Rosea Inversa Pitiriasis Rosea Unilateralis

Papular Pitiriasis Rosea Vesicular Pitiriasis Rosea

Purpuric Pitiriasis Rosea

 DIAGNOSIS

1. Anamnesis
2. Physical Examination
3. Supporting examination (KOH)
 TREATMENT

• Topical :
- Salisil talk 2%,
- Severe cases : Glukokortikoid topical medium
(betamethasone dipropionate 0,025% ointment )
• Sistemik :
- Antihistamin oral
- Kortikosteroid sistemik
 DIFFERENTIAL DIAGNOSIS

 Secondary Syphilis
Tinea Corporis
Nummular Dermatitis
Gutata Psoriasis
 PROGNOSIS

• Pityriasis rosea is an acute disease and self limiting

disease that will disappear in less than 6 week.
• However, in some cases it can also survive up to 3
- 5 month
• Can heal without leaving a trace.
• Relapse and recurrence is rare