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Pityriasis Rosea

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121. Syphilis

angina. Regional or generalized lymphadenopathy The differential diagnosis of regional and generalized lymphadenopathy is broad and can include infectious causes, systemic diseases, and malignancy. The characteristic features of both the regional and generalized lymphadenopathy in syphilis are painless, discreet, mobile, rubbery nodes which vary in size from 0.5–2cm. Maculopapular rash The most common conditions which can be confused with syphilis are drug eruptions, pityriasis rosea, HIV

2016 NICE Clinical Knowledge Summaries

122. Diagnosis and management of psoriasis and psoriatic arthritis in adults

readily remove the scale. Scaling is reduced at flexural sites, on genital skin and in palmoplantar disease. Guttate psoriasis describes the rapid development of multiple small papules of psoriasis over wide areas of the body. The differential diagnosis includes pityriasis rosea, viral exanthems and drug eruptions. Generalised pustular psoriasis is rare and is characterised by the development of multiple sterile non-follicular pustules within plaques of psoriasis or on red tender skin. This may occur

2010 SIGN

123. Cutaneous metastasis of inflammatory breast carcinoma mimicking an erythema annulare centrifugum: a sign of locally recurrent cancer. (Abstract)

Cutaneous metastasis of inflammatory breast carcinoma mimicking an erythema annulare centrifugum: a sign of locally recurrent cancer. Erythema annulare centrifugum (EAC) is a clinical reaction pattern that includes lupus erythematosus, spongiotic dermatitis (particularly pityriasis rosea), pseudolymphoma and cutaneous B-cell lymphoma. However, it can be the result of cutaneous metastasis by an internal carcinoma. We present the case of a 38-year-old woman with bilateral inflammatory breast

2016 Clinical & Experimental Dermatology

124. Seasonal variations in dermatologic and dermatopathologic diagnoses: a retrospective 15-year analysis of dermatopathologic data. (Abstract)

). Hand, foot, and mouth disease was statistically more prevalent in summer and autumn (P = 0.028). Erythema multiforme was most common in spring and summer (P = 0.004). Grover's disease was most common in winter and spring (P = 0.000039). Guttate psoriasis was non-significantly more common in winter and spring (P = 0.076). No statistically significant seasonal variation was found for erythema dyschromicum perstans (P = 0.899), pityriasis rosea (P = 0.727), or pityriasis lichenoides (P = 0.366 (...) dyschromicum perstans (ashy dermatosis), pityriasis lichenoides, and pityriasis rosea.Data were derived from a 15-year retrospective review of electronic records from a large dermatopathology laboratory located in the mid-Atlantic region of the USA. Numbers of diagnoses per month and "per season" were determined. Pairwise comparisons of seasonal data were made using two-sample t-tests with significance set at P ≤ 0.05.Perniosis (chilblains) was significantly more common in winter and spring (P = 0.001

2016 International Journal of Dermatology

125. Sex differences in the incidence of skin and skin-related diseases in Olmsted County, Minnesota, United States, and a comparison with other rates published worldwide. Full Text available with Trip Pro

Rochester Epidemiology Project data. Females had a higher incidence of the following diseases: connective tissue diseases (scleroderma, morphea, dermatomyositis, primary Sjögren syndrome, systemic lupus erythematosus [not in all studies]), pityriasis rosea, herpes progenitalis, condyloma acuminatum, hidradenitis suppurativa, herpes zoster (except in children), erythromelalgia, venous stasis syndrome, and venous ulcers. Males had a higher incidence of psoriasis and psoriatic arthritis, basal cell

2016 International Journal of Dermatology

126. Clinicopathological Study of Non-Infectious Erythaematous Papulosquamous Skin Diseases Full Text available with Trip Pro

clinically diagnosed/suspected non-infectious erythaematous, papulosquamous skin diseases were received in the Department of Pathology. The specimens obtained were subjected to formalin fixation and paraffin embedding, stained with haematoxylin and eosin and studied. The lesions were classified as psoriasis, lichen planus, lichen nitidus, lichen striatus, pityriasis rosea and pityriasis rubra pilaris and clinicopathological correlation was done.Papulosquamous lesions were common in the elderly. Males (...) were commonly affected except in pityriasis rosea. Among the 150 cases studied, 72 cases (48%) were histopathologically confirmed to be papulosquamous lesions. Psoriasis was the most common lesion.Key histopathological features and clinicopathological correlation gives a conclusive diagnosis. The importance of specific histomorphological diagnosis lies in distinguishing these lesions as the treatment and prognosis varies widely.

2016 Journal of clinical and diagnostic research : JCDR

127. Dermoscopy in General Dermatology: A Practical Overview Full Text available with Trip Pro

presenting with erythematous-desquamative patches/plaques (plaque psoriasis, eczematous dermatitis, pityriasis rosea, mycosis fungoides and subacute cutaneous lupus erythematosus), papulosquamous/papulokeratotic dermatoses (lichen planus, pityriasis rosea, papulosquamous sarcoidosis, guttate psoriasis, pityriasis lichenoides chronica, classical pityriasis rubra pilaris, porokeratosis, lymphomatoid papulosis, papulosquamous chronic GVHD, parakeratosis variegata, Grover disease, Darier disease and BRAF (...) -inhibitor-induced acantholytic dyskeratosis), facial inflammatory skin diseases (rosacea, seborrheic dermatitis, discoid lupus erythematosus, sarcoidosis, cutaneous leishmaniasis, lupus vulgaris, granuloma faciale and demodicidosis), acquired keratodermas (chronic hand eczema, palmar psoriasis, keratoderma due to mycosis fungoides, keratoderma resulting from pityriasis rubra pilaris, tinea manuum, palmar lichen planus and aquagenic palmar keratoderma), sclero-atrophic dermatoses (necrobiosis lipoidica

2016 Dermatology and therapy

128. Histologic features of secondary syphilis: A multicenter retrospective review. (Abstract)

cases mostly had 5 to 7 of the features studied. Many features were scarcer in cases with 5 or fewer features, including endothelial swelling (87.7% overall vs 72.4% ≤5 features), plasma cells (69.8% vs 48.3%), and elongated rete ridges (75.5% vs 27.6%). Specimens with 5 or fewer features were more likely to be truncal (61.1% vs 34.4% overall), demonstrate rete ridge effacement (44.8% vs 19.8%), and have pityriasis rosea (33.3% vs 17.2%) or drug eruption (33.3% vs 10.9%) in the clinical differential

2015 Journal of American Academy of Dermatology

129. Atypical manifestations of graft-versus-host disease. (Abstract)

-appearing white tongue, inverse pityriasis rosea-like, and eczema craquelé-like GVHD.This study is limited by case number.Because of the high rate of cutaneous involvement with GVHD, the accessibility of the skin for diagnosis, and the morbidity associated with severe or long-standing skin involvement, it is important for dermatologists to recognize and accurately diagnose cutaneous GVHD in all its protean manifestations.Copyright © 2014 American Academy of Dermatology, Inc. Published by Elsevier Inc

2015 Journal of American Academy of Dermatology

130. Unusual Eruptions Associated with Mycoplasma pneumoniae Respiratory Infections: Review of the Literature. Full Text available with Trip Pro

engine Google.We found a possible relationship between M. pneumoniae infection and Fuchs' syndrome (n = 37), varicella-like eruptions (n = 8), Henoch-Schönlein syndrome and further leukocytoclastic vasculitides (n = 21) and erythema nodosum (n = 11). A temporal relationship was also observed with 2 cases of Gianotti-Crosti syndrome. Finally, there exists reasonable evidence that pityriasis rosea Gibert and pityriasis lichenoides et varioliformis acuta Mucha-Habermann are not associated

2015 Dermatology

131. Primary Care Corner with Geoffrey Modest MD: STI Infection Therapy WHO Guidelines

of inoculation) after mean incubation of 21 days, and heals spontaneously in 3-10 weeks Secondary syphilis: generalized rash (varies widely, and I have seen a couple of cases looking just like pityriasis rosea), but typically palms and soles, symmetric, non-itchy. In moist areas (anus/labia), can be white-gray raised lesion of condyloma lata, which are teeming with treponemes (i.e., wear gloves…) latent syphilis: positive serology, no clinical signs/symptoms, and divided into early latent (<2yrs) or late

2016 Evidence-Based Medicine blog

132. Eruptive Hypomelanosis: A Novel Exanthem Associated With Viral Symptoms in Children. Full Text available with Trip Pro

clinical presentation, eruptive hypomelanosis, may represent a paraviral exanthem with a prodromal coryzal phase, sudden eruption of fairly monomorphic lesions, and predictable time course with spontaneous resolution.Eruptive hypomelanosis is a novel viral exanthem. Further investigation is needed to elucidate the etiology of this condition and its relationship to other exanthemas and eruptions such as pityriasis rosea. (...) Eruptive Hypomelanosis: A Novel Exanthem Associated With Viral Symptoms in Children. Recognition of different clinical presentations of viral and virally triggered ("paraviral") exanthems is necessary for patients to be appropriately diagnosed and counseled.Nine children presented with eruptions of hypopigmented macules following coryzal symptoms. Other diagnostic considerations, such as pityriasis alba, pityriasis versicolor, and progressive macular hypomelanosis, were excluded. This novel

2014 JAMA dermatology (Chicago, Ill.)

133. A Randomized Placebo-Controlled Study of the Neurokinin-1 (NK1) Receptor Antagonist VPD-737 Prurigo Nodularis (PN)

injury or with neurologic deficit). Have pruritus due to urticaria, drug allergy, or infection (such as pityriasis rosea or tinea or active human immunodeficiency virus [HIV]). Note: Subjects with HIV who have undetectable viral load, CD 4 counts >200 cells/cc, and stable retroviral therapy may enroll. Are on medications known to cause pruritus (ie, Erbitux®, opioids, cocaine, amphetamines, and angiotensin converting enzyme [ACE] inhibitors) and are suspected of having drug-induced pruritus. Have

2014 Clinical Trials

134. Pediatric Subjects With Tinea Corporis

, eczema, impetigo, lichen planus, pityriasis rosea, pityriasis versicolor, psoriasis, seborrhoeic dermatitis and syphilis. Severe dermatophytoses, mucocutaneous candidiasis, or bacterial skin infection Patients with tinea corporis who have concurrent dermatophytosis of the scalp, beard or nails. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided

2014 Clinical Trials

135. Urticaria, Acute (Diagnosis)

a careful history. (See Etiology.) Acute urticaria is generally diagnosed based on a detailed patient history and physical examination. (See Clinical Presentation.) Although clinically distinctive, urticaria may be confused with a variety of other dermatologic diseases that can be similar in appearance and are pruritic, including atopic dermatitis (eczema), maculopapular drug eruptions, contact dermatitis, insect bites, erythema multiforme, pityriasis rosea, and others. Usually, however, the experienced

2014 eMedicine.com

136. Urticaria (Diagnosis)

. (See Etiology.) Acute urticaria is generally diagnosed based on a detailed patient history and physical examination. (See Clinical Presentation.) Although clinically distinctive, urticaria may be confused with a variety of other dermatologic diseases that can be similar in appearance and are pruritic, including atopic dermatitis (eczema), maculopapular drug eruptions, contact dermatitis, insect bites, erythema multiforme, pityriasis rosea, and others. Usually, however, the experienced clinician

2014 eMedicine.com

137. Human Herpesvirus Type 6 (Diagnosis)

CE, et al. Additional evidence that pityriasis rosea is associated with reactivation of human herpesvirus-6 and -7. J Invest Dermatol . 2005 Jun. 124(6):1234-40. . Mardivirin L, Valeyrie-Allanore L, Branlant-Redon E, et al. Amoxicillin-induced flare in patients with DRESS (Drug Reaction with Eosinophilia and Systemic Symptoms): report of seven cases and demonstration of a direct effect of amoxicillin on Human Herpesvirus 6 replication in vitro. Eur J Dermatol . 2010 Jan-Feb. 20(1):68-73 (...) excreted in saliva in stem cell transplant recipients. Bone Marrow Transplant . 2007 Apr. 39(8):497-9. . Galarraga MC, Gomez E, de Oña M, Rodriguez A, Laures A, Boga JA, et al. Influence of ganciclovir prophylaxis on citomegalovirus, human herpesvirus 6, and human herpesvirus 7 viremia in renal transplant recipients. Transplant Proc . 2005 Jun. 37(5):2124-6. . Drago F, Vecchio F, Rebora A. Use of high-dose acyclovir in pityriasis rosea. J Am Acad Dermatol . 2006 Jan. 54(1):82-5. . Ohye T, Kawamura Y

2014 eMedicine.com

138. Human Herpesvirus 6 (Diagnosis)

CE, et al. Additional evidence that pityriasis rosea is associated with reactivation of human herpesvirus-6 and -7. J Invest Dermatol . 2005 Jun. 124(6):1234-40. . Mardivirin L, Valeyrie-Allanore L, Branlant-Redon E, et al. Amoxicillin-induced flare in patients with DRESS (Drug Reaction with Eosinophilia and Systemic Symptoms): report of seven cases and demonstration of a direct effect of amoxicillin on Human Herpesvirus 6 replication in vitro. Eur J Dermatol . 2010 Jan-Feb. 20(1):68-73 (...) excreted in saliva in stem cell transplant recipients. Bone Marrow Transplant . 2007 Apr. 39(8):497-9. . Galarraga MC, Gomez E, de Oña M, Rodriguez A, Laures A, Boga JA, et al. Influence of ganciclovir prophylaxis on citomegalovirus, human herpesvirus 6, and human herpesvirus 7 viremia in renal transplant recipients. Transplant Proc . 2005 Jun. 37(5):2124-6. . Drago F, Vecchio F, Rebora A. Use of high-dose acyclovir in pityriasis rosea. J Am Acad Dermatol . 2006 Jan. 54(1):82-5. . Ohye T, Kawamura Y

2014 eMedicine.com

139. Lichen Striatus (Diagnosis)

. [ , ] One group of authors has suggested that epigenetic mosaicism may be involved. They hypothesize that lichen striatus is triggered by an immunologic reaction to an infection, which triggers methylation or demethylation of a partially silenced genomic element in predisposed patients. [ ] A report of concurrent pityriasis rosea and lichen striatus may lend support to this theory. Human herpes viruses 6 and 7 have been implicated in the etiology of pityriasis rosea. The concurrent lichen striatus (...) (blaschkitis) following varicella infection. J Eur Acad Dermatol Venereol . 2006 Nov. 20(10):1345-7. . Ishikawa M, Ohashi T, Yamamoto T. Lichen striatus following influenza infection. J Dermatol . 2014 Dec. 41 (12):1133-4. . Verma P, Singal A, Yadav P, Sharma R. Concurrence of lichen striatus and localised pityriasis rosea: Cutaneous mosaicism. Australas J Dermatol . 2013 Feb. 54(1):41-2. . Arias-Santiago SA, Sierra Giron-Prieto M, Fernandez-Pugnarie MA, Naranjo-Sintes R. [Lichen striatus following

2014 eMedicine.com

140. Psoriasis, Guttate (Diagnosis)

are associated with the clinical types of psoriasis but not with the corresponding lesional psoriasis severity index. Ann Dermatol . 2015 Feb. 27 (1):26-31. . Krishnamurthy K, Walker A, Gropper CA, Hoffman C. To treat or not to treat? Management of guttate psoriasis and pityriasis rosea in patients with evidence of group A Streptococcal infection. J Drugs Dermatol . 2010 Mar. 9(3):241-50. . Mobini N, Toussaint S, Kamino H. Noninfectious erythematous, papular and squamous diseases . 10th ed. Lippincott-Raven

2014 eMedicine.com

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