Acral pityriasis rosea in an infant with palmoplantar lesions: A novel manifestation

Zawar, Vijay

doi:10.4103/2229-5178.73253

Cited by 12 publications

(6 citation statements)

References 10 publications

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“…The lesions are exclusively located on palms, wrists, soles[ 13 ] (Figure 7 ), without involvement of the flexures (axillae, groins and face), opposite to inversus PR.…”

Section: Brief Description Of Clinical Variants Of Prmentioning

confidence: 99%

Clinical variants of pityriasis rosea

Urbina¹,

Das²,

Sudy³

2017

WJCC

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Pityriasis rosea (PR) is a common erythemato-squamous dermatosis which almost always, is easily diagnosed. Mostly the disease presents in its classical form. However, clinical dermatology is all about variations and PR is not an exception. Variants of the disease in some cases may be troublesome to diagnose and confuse clinicians. Prompt diagnosis and treatment of the condition becomes necessary to avoid unnecessary investigations. We hereby review and illustrate atypical presentations of the disease, including diverse forms of location and morphology of the lesions, the course of the eruption, and its differential diagnoses.

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“…The lesions are exclusively located on palms, wrists, soles[ 13 ] (Figure 7 ), without involvement of the flexures (axillae, groins and face), opposite to inversus PR.…”

Section: Brief Description Of Clinical Variants Of Prmentioning

confidence: 99%

Clinical variants of pityriasis rosea

Urbina¹,

Das²,

Sudy³

2017

WJCC

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“…Case reports documenting acral involvement both in the pediatric and adult populations are scarce, indicating that such a presentation is exceedingly rare [ 4 - 7 ]. Zawar has delineated an infantile presentation of PR limited to the acral surfaces without truncal involvement [ 4 ]. The other reported cases of pediatric and adult acral PR have involved the trunk [ 5 - 7 ].…”

Section: Discussionmentioning

confidence: 99%

An Atypical Presentation of Pityriasis Rosea Localized to the Extremities

Daze¹,

Dorton²

2020

Cureus

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Pityriasis rosea (PR) is a benign, self-limiting, papulosquamous disorder characterized by the onset of a herald patch followed by an abrupt eruption of multiple salmon-colored papules and plaques on the trunk and proximal extremities. The individual lesions are often outlined by a collarette of scale and are distributed along the lines of cleavage. While many authors acknowledge an etiologic association with human herpesvirus 6 and human herpesvirus 7, thereby suggesting a viral exanthem, the exact cause remains unclear. While typically demonstrating a truncal predilection, this presentation may be absent in some patients who instead exhibit atypical features and distributions. Various clinical variants include papular, vesicular, purpuric, and eczematoid. The condition rarely manifests without truncal involvement and localized only to the distal extremities. We present a unique case report of a 65-year-old-male with biopsy-proven PR that was localized to his distal extremities with a clinical absence of truncal involvement.

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“…[ 25 ] Zawar described an infant with the acral distribution of both primary and secondary lesions where classical annular scaly lesions were located on wrists, palms, lower legs, feet, and sole with sparing of trunk and proximal parts of limbs. [ 26 ] In such patients, EM, syphilis, necrolytic acral erythema, and drug eruptions should be excluded Unilateral: This is an extremely rare variant reported in both children and adult where the lesions were located on one side of body and patient had herald patch with classical secondary lesions[ 27 28 ] Blaschkoid pattern: Here, the lesions follow the Blaschko's line[ 29 ] Limb-girdle: Also known as PR of Vidal; here, the eruption is limited to shoulders or pelvic girdle, thus involving axilla and groins. Lesions are usually larger and more annular[ 2 ] Oral mucosa: It may be involved in 16% of patients, and the lesions may be punctuate, erosive, bullous, or hemorrhagic but are usually asymptomatic in nature[ 2 ] Localized: Here, the eruptions are localized to one part of the body.…”

Section: Atypical Variants Of Pityriasis Roseamentioning

confidence: 99%

Section: Atypical Variants Of Pityriasis Roseamentioning

confidence: 99%

Pityriasis rosea: An update on etiopathogenesis and management of difficult aspects

Mahajan

Relhan

Relhan³

et al. 2016

Indian J Dermatol

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Pityriasis rosea (PR) is a benign papulosquamous disorder seen commonly in clinical practice. Despite its prevalence and benign nature, there are still times when this common disorder presents in an uncommon way or course posing diagnostic or management problems for the treating physician. The etiopathogenesis of PR has always been a dilemma, and extensive research is going on to elicit the exact cause. This review focuses mainly on the difficult aspects of this benign common disorder such as etiopathogenesis, atypical manifestations, recurrent cases, differential diagnosis, therapy and pregnancy considerations. Although we could not find a black and white solution to all these problems, we have tried to compile the related literature to draw out some conclusions.

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Acral pityriasis rosea in an infant with palmoplantar lesions: A novel manifestation

Abstract: Indian children often present with atypical forms of pityriasis rosea (PR). We describe a female infant with acrally located eruptions consistent with a clinical diagnosis of PR. This is an extremely rare presentation of the disease.

Cited by 12 publications

References 10 publications

Clinical variants of pityriasis rosea

Clinical variants of pityriasis rosea

An Atypical Presentation of Pityriasis Rosea Localized to the Extremities

Pityriasis rosea: An update on etiopathogenesis and management of difficult aspects

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