Atypical pityriasis rosea in a pregnant woman: First report associating local herpes simplex virus 2 reactivation

Background:Pityriasis rosea is a papulosquamous disease. It may occur during pregnancy; in this setting, it has occasionally been associated with adverse outcomes.Purpose:A woman who developed pityriasis rosea at the beginning of her eighth week of gestation is described. The outcomes in newborns delivered by pregnant women who developed pityriasis rosea during gestation are summarized.Method:A 28-year-old woman developed pityriasis rosea during her eighth week of pregnancy. Her husband had pityriasis rosea two months earlier. PubMed was searched for the following terms: conjugal, craniosynostosis, newborn, pityriasis, pregnancy, rosea, sagittal, spouse. The papers were reviewed and the references cited were evaluated.Results:Our patient delivered a healthy male infant after 41 weeks of gestation. He had normal weight, height, and Apgar scores. Isolated sagittal craniosynostosis was diagnosed and was successfully treated at nine weeks after birth without complications.Conclusion:Several retrospective studies have investigated the possibility of adverse outcomes in infants born to women who developed pityriasis rosea during pregnancy, such as stillbirth, low gestational weight, hypotonia, and premature delivery. However, there are also reports of healthy newborns in women who have had pityriasis rosea during gestation. Our patient carried the fetus one week post-term and delivered a healthy boy via C-section; isolated sagittal craniosynostosis was later diagnosed and successfully repaired. The occurrence of craniosynostosis in a woman who developed pityriasis rosea during her first trimester of pregnancy may be two coincidental events.

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“…Less commonly, it can present with lesions on the neck and extremities (inverse pityriasis rosea) [10–11] or during pregnancy [5,6,12,13]. …”

Section: Discussionmentioning

confidence: 99%

“…Additional studies looking at the association between HSV-6 and HSV-7 DNA and the occurrence of pityriasis rosea in pregnancy have also been performed [13,14,17,18]. Some of the studies found reactivation of HSV-6 during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Pityriasis rosea in pregnancy: report of a spousal occurrence and craniosynostosis in the healthy newborn

Loh

Cohen

2016

Dermatol Pract Concept

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“…PR frequently presents with atypical forms. [ 20 26 27 28 29 30 31 32 ] These atypical components are not all-or-nothing. We have, for example, presented case reports on patients with variable magnitudes of atypical PR rash.…”

Section: Discussionmentioning

confidence: 99%

Applicability of proposed diagnostic criteria of pityriasis rosea: Results of a prospective case-control study in India

Zawar¹,

Chuh

2013

Indian J Dermatol

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Background:The diagnosis of pityriasis rosea (PR) is generally clinical. Previous studies usually recruited relatively small numbers of patients and control subjects, leading to low power of study results. Systematic reviews and meta-analyses cannot be readily performed, as the inclusion and exclusion criteria of these studies were not uniform. We have previously validated a set of diagnostic criteria (DC) in Chinese patients with PR.Aim:Our aim is to evaluate the validity and applicability of the DC of PR in Indian patients with PR.Study Design:Prospective unblinded pair-matched case-control study.Materials and Methods:The setting is a dermatology clinic in India served by one board-certified dermatologist. We recruited all 88 patients seen by us during five years diagnosed to have PR to join our study. For each study subject, we recruited the next patient who consulted us with differential diagnoses of PR as control subjects. We applied the DC of PR on all study and control subjects.Result:The sensitivity, specificity, positive predictive value, and negative predictive value of the DC were all 100%. Two-tailed Fisher's exact probability test result was 0.036. Φ was 1.00.Conclusion:The set of DC can be validly applied to Indian patients with PR.

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“…Lo anterior se apoya en varios estudios retrospectivos que han observado eventos adversos que afectan al recién nacido en mujeres que desarrollan Pitiriasis Rosada durante el embarazo (14,12,25). Se realizó una revisión de la literatura existente incluyendo a 68 casos de mujeres que desarrollaron esta patología, los casos fueron obtenidos de 8 artículos más el de la paciente de este reporte de caso (8,11,12,14,(25)(26)(27)(28). Acorde a los casos analizados el desarrollo de la Pitiriasis Rosada gestacional fluctuó entre la semana 8 y 32 de embarazo, donde se presentó la patología con la siguiente distribución; Primer trimestre: 13 mujeres lo que representa el 19%, Segundo Trimestre: 49 Mujeres lo que representa el grupo mayoritario con 72%, Tercer Trimestre: 6 Mujeres representando al 9% de los casos.…”

Section: Discussionunclassified

Pitiriasis rosada en el embarazo: Reporte de caso

Gutiérrez-Pinto

Concha-Rogazy

von-Oetinger-Giacoman

et al. 2018

Rev. chil. obstet. ginecol.

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A pesar de que la Pitiriasis Rosada se considera una condición cutánea benigna, en el marco del embarazo, hay estudios que relacionan la aparición de esta patología con complicaciones asociadas en el feto. Metodología: Se realiza un reporte de caso, prospectivo, a una mujer de 36 años chilena que presentó esta patología durante la semana 12 de gestación. El objetivo fue describir, la evolución y control y contrastar su evolución con la evidencia científica actual sobre esta temática. Resultados: Paciente presenta placas eritematodescamativas concordantes con diagnóstico de pitiriasis rosada (superficie afectada menos al 50% de su cuerpo), sin presentar enantema, ni síntomas sistémicos. Tuvo un recién nacido sano a las 38 semanas de gestación, sin presentar ningún efecto adverso de los que relaciona la literatura analizada. Conclusiones: Distintos estudios han estudiado los posibles efectos adversos en el feto en madres que han presentado Pitiriasis Rosada en el embarazo, sin embargo, en este reporte de caso no se presentaron complicaciones asociadas. Faltan estudios realizados en mayor cantidad de pacientes.

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Atypical pityriasis rosea in a pregnant woman: First report associating local herpes simplex virus 2 reactivation

Cited by 11 publications

References 8 publications

Pityriasis rosea in pregnancy: report of a spousal occurrence and craniosynostosis in the healthy newborn

Pityriasis rosea in pregnancy: report of a spousal occurrence and craniosynostosis in the healthy newborn

Applicability of proposed diagnostic criteria of pityriasis rosea: Results of a prospective case-control study in India

Pitiriasis rosada en el embarazo: Reporte de caso

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