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Pityriasis Rosea

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121. Incidence of diseases primarily affecting the skin by age group: population-based epidemiologic study in Olmsted County, Minnesota, and comparison with age-specific incidence rates worldwide. (PubMed)

, herpes zoster, delusional infestation, venous stasis syndrome, venous ulcer, and burning mouth syndrome were more commonly diagnosed. In those younger than 65 years, atypical nevi, psoriatic arthritis, pityriasis rosea, herpes progenitalis, genital warts, alopecia areata, hidradenitis suppurativa, infantile hemangioma, Behçet's disease, and sarcoidosis (isolated cutaneous, with sarcoidosis-specific cutaneous lesions and with erythema nodosum) had a higher incidence. Many of the incidence rates by age

2018 International Journal of Dermatology

122. 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

123. C-CBL E3 ubiquitin ligase expression increases across the spectrum of benign and malignant T-cell skin diseases (PubMed)

to their nonneoplastic counterparts in benign inflammatory dermatoses. Immunohistochemical staining with anti-c-CBL antibody was performed on lesional biopsies from a total of 65 patients with atopic dermatitis, allergic contact dermatitis, pityriasis rosea, psoriasis vulgaris, lichen planus, mycosis fungoides (MF)/Sézary syndrome (SS) as well as on tonsil tissue from 5 individuals and on 5 human CTCL cell lines. Protein levels were measured in situ using multispectral image analysis, a quantitative method

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2017 The American Journal of dermatopathology

124. Dermoscopy in General Dermatology: A Practical Overview (PubMed)

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

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2016 Dermatology and therapy

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. (PubMed)

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

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2016 International Journal of Dermatology

126. Skin Infection

, and pityriasis rosea. Examples of parasitic infection include scabies and lice. Examples of fungal infection include athlete's foot, yeast infection, and ringworm. Definition (NCI_CTCAE) A disorder characterized by an infectious process involving the skin. Definition (MSH) Skin diseases caused by bacteria, fungi, parasites, or viruses. Definition (CSP) skin diseases caused by bacteria, fungi, parasites, or viruses; may present on the surface of the skin, or underlying dermal layers. Concepts Disease

2018 FP Notebook

127. Clinicopathological Study of Non-Infectious Erythaematous Papulosquamous Skin Diseases (PubMed)

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.

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2016 Journal of clinical and diagnostic research : JCDR

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

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

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2016 Clinical & Experimental Dermatology

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

). 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

130. 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

131. Syphilis

, 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 seroconversion rash, measles, and rubella. Condylomata lata (moist, wart-like lesions) Conditions such as viral warts, scabies, molluscum contagiosum, or haemorrhoids (in the anal area). Patchy

2014 NICE Clinical Knowledge Summaries

132. Psoriasis

the nails. Lichen simplex chronicus — localized areas of lichenification resulting from repeated rubbing, scratching, and itching of the skin. Discoid lupus erythematosus — may be exacerbated by sun exposure and result in scarring. Cutaneous T-cell lymphoma — rare; presents with itchy, red, scaly patches however, unlike psoriasis, there is colour variation among the patches. Guttate psoriasis may present similarly to: Viral exanthems. Pityriasis rosea — psoriatic scale involves the whole lesion (...) and is coarser than the finer, localized ring pattern of the scale of pityriasis rosea. See the CKS topic on for more information. Drug eruptions. Generalized pustular psoriasis may present similarly to: Pyogenic infections. Vasculitis. Drug eruptions. Basis for recommendation Basis for recommendation The information on the differential diagnosis of psoriasis is based on the Scottish Intercollegiate Guidelines Network (SIGN) clinical guideline Diagnosis and management of psoriasis and psoriatic arthritis

2014 NICE Clinical Knowledge Summaries

133. Fungal skin infection - body and groin

, there may be a personal or family history of atopy. See the CKS topic on for more information. Pityriasis rosea — multiple circular or oval pink-red or fawn-coloured slightly scaly lesions, typically in a symmetrical distribution affecting the trunk and proximal limbs. A larger herald patch usually precedes the onset of the generalized rash. See the CKS topic on for more information. Pityriasis versicolor — well-demarcated multiple round or oval macules of variable colours most commonly on the back

2014 NICE Clinical Knowledge Summaries

134. Seborrhoeic dermatitis

(less common) — generalized macules and patches that resemble extensive pityriasis rosea. Flexural seborrhoeic dermatitis (for example axillae, groin, anogenital, and submammary regions) presents as intertrigo with diffuse, marginated red areas and greasy scaling. Severe seborrhoeic dermatitis — the possibility of HIV infection should be considered in people who present with severe seborrhoeic dermatitis, particularly if the person is involved with high risk activities. For images of seborrhoeic (...) facial erythema in a cruciform pattern. Body: Atopic eczema — typically affects the antecubital and popliteal fossae in adults. Pityriasis rosea — unlike seborrhoeic dermatitis, there is often a herald patch and lesions are less widely distributed. Pityriasis versicolor — flatter, extensive, less symmetrical than lesions of petaloid seborrhoeic dermatitis. Often noticed after a holiday where the person has been exposed to the sun. Lichen simplex of the nape of the neck — thickened plaques mimic

2013 NICE Clinical Knowledge Summaries

135. Histologic features of secondary syphilis: A multicenter retrospective review. (PubMed)

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

136. Is it time to update antiquated medical buzzwords?

before going to medical school, I am attuned to language and intrigued by buzzwords, some of which are creative and timeless. For instance, there’s the “Scotty dog” appearance of the lumbar spine on an x-ray, which resembles a Scottish terrier, and the collar on its neck that appears in a case of spondylolysis. There’s the “Christmas tree” distribution of papular skin eruptions in pityriasis rosea and the “prostitute’s pupils” that don’t react to light in a patient with neurosyphilis. Patients

2015 KevinMD blog

137. Atypical manifestations of graft-versus-host disease. (PubMed)

-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

138. The dwindling of the medical lexicon. It matters.

language. We learned the behind the scenes reasoning for medical expressions, such as, Baker’s asthma. We wondered how many pityriasis and roseas there were and the world of difference between erythema toxicum and eczema herpeticum. We could express with concise detail why it’s herpangina and not stomatitis and not hand-foot –and mouth disease. Students of medicine not only acquire these words but its history. Medicine has a past and it is lyrical. But the rest of the health industry tentacles want

2015 KevinMD blog

139. Unusual Eruptions Associated with Mycoplasma pneumoniae Respiratory Infections: Review of the Literature. (PubMed)

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

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2015 Dermatology

140. Eruptive Hypomelanosis: A Novel Exanthem Associated With Viral Symptoms in Children. (PubMed)

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

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2014 JAMA dermatology (Chicago, Ill.)

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