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PITYRIASIS ROSEA

HANINA ALJUFRI
(09 777 031)
PEMBIMBING
Dr. SUKMA A. M.KES. SP.KK
DEFINISI
• PR is a common acute, self-limited skin
eruption that typically begins as a single thin
oval scaly plaque on the trunk ("herald patch")
and is typically asymptomatic.
EPIDEMIOLOGI
• The average annual incidence at one center was
reported to be 0.16 percent (158.9 cases per 100,000
person-years). Although PR is usually considered to
be more common in the spring and fall months in
temperate zones, seasonal variation has not been
borne out in studies performed in other parts of the
world.
• Most studies have shown a slight female
preponderance of approximately 1.5:1.6,8. PR most
commonly occurs between the ages of 10 and 35
years
ETIOLOGI AND PATHOGENESIS
• Numerous studies over the past 50 years have
explored various pathogens as possible causes of PR.
These pathogens have included numerous bacteria,
fungi, and, most notably, viruses.
• most recent PR etiologic and pathogenetic studies
have been focused on two ubiquitous HHVs, HHV-7
and HHV-6
CLINICAL FINDINGS
• Usually asymptomatic, but sometimes associated
with pruritus and mild flu-like symptoms.
• Most often begins as asingle 2- to 4-cm thin oval
plaque with a fine collarette of scale located
inside the periphery of the plaque ("herald
patch"). Similar-appearing, but smaller, lesions
then appear several days to weeks later and are
typically distributed along the lines of cleavage on
the trunk (in a"Christmas tree" pattem).
HERALD PATCH
Laboratory tests
• Typical nonspecific histologic features of
pityriasis rosea, including patchy
parakeratosis. absence of a granular cell layer,
Slight acanthosis, spongiosis. and a
Iymphohistiocytic infiltrate in the superticial
dermis.
Differential Diagnosis
• secondary syphilis
• Tinea corporis
• Nummular dennatitis
• Guttate psoriasis
• Pityriasis lichenoides chronica
Treatment
• Because PR is self-limited, there is no need for active
treatment in uncomplicated cases.
• Treatment is usually supportive, although mid-
potency topical corticosteroids can be used for
associated pruritus. One report suggests that
administration of high-dose acyclovir for 1 week may
hasten recovery from the disease.
Complication
• Patients may experience flu-like symptoms, but these
are relatively mild if they occur. No serious
complications occur in PR patients.
THANK YOU