Abstract
Objective: Pityriasis rosea (PR) is a self-limited, common, acute papulosquamous disease that frequently affects the trunk and extremities. It typically affects children and young adults. It is rare under ten years of age. There are few studies on PR seen in children. We therefore aimed to investigate the clinical course and characteristics of PR in children.
Material and Methods: This is a retrospective study of 67 children aged 6 months to 16 years who presented to the dermatology outpatient clinic and were diagnosed as PR with the clinical and/or histopathologic findings.
The patients were examined in terms of age, gender, location of lesions, plaque presence, itching, duration of complaints, presence of upper respiratory tract infection or prodromal symptoms, family history, atopy history, and drug history.
Results: The age of the 67 children included in the study ranged from 6 months to 16 years, with an average age of 9.22 and a peak age of 11 (17.9%). There were 29 male (43.3%) and 38 (56.7%) female patients. There were 36 (53.7%) patients under 10 years of age and 10 patients (14.9%) under 4 years of age. Four patients (6%) had atopy, and the duration of disease ranged from 3 days to 4 months (mean 17 days). The interval between the leading lesion and the secondary lesion ranged from 3 days to 1 month (mean 9 days). The lesions were most frequently seen in the trunk.
There were 4 cases (6%) of upper respiratory tract infection prior to the disease. The most common season for the occurrence of the disease was autumn (24 patients, 35.8%). A medallion plaque was observed in 97% of the cases and was localized most frequently on the body. The number of patients with atypical PR was 13 (19.4%) (5 localized, one papulovesicular, one with dual medallions, 6 persistent).
Conclusion: Adult and child PR is not very different clinically.
References
- 1. Drago F, Ciccarese G, Broccolo F, Cozzani E, Parodi A. Pityriasis rosea in children: Clinical features and laboratory investigations. Dermatology 2015;231:9–14.
- 2. Lemster N, Neumark M, Ingber A. Pityriasis rosea in a woman and her husband – case report and review of the literature. Case Rep Dermatol 2010;2:135–9.
- 3. Kempf W, Adams V, Kleinhans M, Burg G, Panizzon RG, Campadelli-Fiume G, et al. Pityriasis rosea is not associated with human herpesvirus 7. Arch Dermatol 1999;135:1070–2.
- 4. Kosuge H, Tanaka-Taya K, Miyoshi H, Amo K, Harada R, Ebihara T, et al. Epidemiological study of human herpesvirus-6 and human herpesvirus-7 in pityriasis rosea. Br J Dermatol 2000;143:795–8.
- 5. Chuh A, Zawar V, Law M, Sciallis G. Gianotti-Crosti syndrome, pityriasis rosea, asymmetrical periflexural exanthem, unilateral mediothoracic exanthem, eruptive pseudoangiomatosis, and papular-purpuric gloves and socks syndrome: A brief review and arguments for diagnostic criteria. Infectious Disease Reports 2012; 4:e12.
- 6. Kilinc F, Akbas A, Sener S, Aktas A. Atypical pityriasis rosea: Clinical evaluation of 27 patients. Cutan Ocul Toxicol 2017;36:157–62.
- 7. Balcı DD, Hakverdi S. Vesicular pityriasis rosea: An atypical presentation. Dermatol Online J 2008;14:6.
- 8. Stulberg DL, Wolfrey J. Pityriasis rosea. Am Fam Physician 2004;69:87-94.
- 9. Başkan EB, Turan H, Ercan İ, Yazıcı S, Özkaya G, Sarıcaoğlu H. Pitriyazis rozea olgularında demografik özellikler ve iklimsel faktorlerin incelenmesi. Turkderm 2011;45:97-9.
- 10. Harman M, Aytekin S, Akdeniz S, Inalöz HS. An epidemiological study of pityriasis rosea in the Eastern Anatolia. Eur J Epidemiol 1998;14:495-7.
- 11. Adhicari P, Das S. A hospital-based clinical study of pityriasis rosea in children. J Evid Based Med Healthc 2017;4:365-7.
- 12. Drago F, Broccolo F, Rebora A. Pityriasis rosea: An update with a critical appraisal of its possible herpesviral etiology. J Am Acad Dermatol 2009;61:303-18.
- 13. Mahajan K, Relhan V, Relhan AK, Garg VK. Pityriasis rosea: An update on etiopathogenesis and management of difficult aspects. Indian J Dermatol 2016;61:375-84.
- 14. Akbaş A, Kılınç F, Yakut Hİ, Metin A. Çocuklarda dermatolojik hastalıklar: 4025 hastanın prospektif analizi. Türkiye Çocuk Hast Derg 2015;1:6-11.
- 15. Urbina F, Das A, Sudy E. Clinical variants of pityriasis rosea. World J Clin Cases 2017; 5: 203-11.
- 16. Gündüz O, Ersoy-Evans S, Karaduman A. Childhood pityriasis rosea. Pediatr Dermatol 2009;26:750-1.
- 17. Çölgeçen E, Kader Ç, Ulaş Y, Öztürk P, Küçük Ö, Balcı M. Pityriasis rosea: A natural history of pediatric cases in the Central Anatolia Region of Turkey. Turk J Med Sci 2016;46:1740-2.
- 18. Oğrum A. Unilateral pityriasis rosea in a child: A rare clinical presentation. Turk J Pediatr 2017;59: 214-6.
- 19. Ermertcan AT, Özgüven A, Ertan P, Bilaç C, Temiz P. Childhood Pityriasis rosea inversa without herald patch mimicking cutaneous mastocytosis. Iran J Pediatr 2010;20: 237-41.
- 20. Balcı DD, Doğramacı ÇA, Çelik E, Yaldız M, Akansu B. Invers pitriyazis rozea: Nadir bir varyant. Dirim Tıp Gazetesi 2009;84:133- 7.
- 21. Ciccarese G, Parodi A, Drago F. Pediatric pityriasis rosea. Turk J Med Sci 2017;47:1302-5.
- 22. Karasatı S, Toğral AK, Akoğuz ÖÖ, Ekşioğlu M. Üçüncü basamak bir sağlık kuruluşunda 1 yıl içinde pitiriyazis rozea tanısı alan hastaların demografik ve klinik özellikleri. Turk J Dermatol 2015;1: 8-11.
Abstract
Amaç: Pitriyazis rosea (PR) sıklıkla gövde ve ekstremiteleri tutan, kendini sınırlayıcı, yaygın görülen akut, papüloskuamöz bir hastalıktır. Tipik olarak çocuk ve genç erişkinleri etkiler. On yaş altında nadirdir. Çocuklarda görülen PR ile ilgili az sayıda çalışma bulunmaktadır. Bu nedenle PR’nin çocuklardaki klinik seyrini ve özelliklerini belirlemek için bu araştırmayı yapmayı amaçladık.
Gereç ve Yöntemler: Dermatoloji polikliniğine başvuran ve klinik ve/veya histopatolojik olarak PR tanısı alan 0-16 yaş arası 67 çocuk hastanın dosyası yaş, cins, lezyonların yerleşim yeri, madalyon plak varlığı, kaşıntı, yakınma süresi, öncesinde üst solunum yolu enfeksiyonu ya da prodromal semptom varlığı, aile öyküsü, atopi öyküsü ve ilaç öyküsü açısından incelendi.
Bulgular: Çalışmaya dahil edilen 67 çocuk hastanın yaşları 6 ay-16 yaş arasında olup, yaş ortalaması 9.22, pik yaşı 11 (%17.9) olarak bulundu. Yirmi dokuz erkek (%43.3), 38 (%56.7) kız hasta mevcuttu. On yaş ve altında 36 (% 53.7), 4 yaş ve altında 10 hasta (%14.9) vardı. Dört hastada (%6) atopi öyküsü saptandı, hastalık süresi 3 gün ile 4 ay arasında (ortalama 17 gün) değişmekteydi. Öncü lezyon ile ikincil lezyonlar arasındaki süre 3 gün- 1 ay (ortalama 9 gün) arasındaydı. Lezyonlar en sık gövdede izlendi.
Lezyon öncesi üst solunum yolu enfeksiyonu öyküsü 4 hastada (%6) vardı. En sık görüldüğü mevsim sonbahardı (24 hasta, %35.8). Madalyon plak % 97 oranında gözlendi ve en sık gövdede lokalizeydi. Atipik PR’li hasta sayısı 13 (%19.4)’dü (5 lokalize, bir papüloveziküler, bir çift madalyonlu, 6 persistan ).
Sonuç: PR, erişkin ve çocukta klinik olarak birbirinden büyük ölçüde farklı değildir.
References
- 1. Drago F, Ciccarese G, Broccolo F, Cozzani E, Parodi A. Pityriasis rosea in children: Clinical features and laboratory investigations. Dermatology 2015;231:9–14.
- 2. Lemster N, Neumark M, Ingber A. Pityriasis rosea in a woman and her husband – case report and review of the literature. Case Rep Dermatol 2010;2:135–9.
- 3. Kempf W, Adams V, Kleinhans M, Burg G, Panizzon RG, Campadelli-Fiume G, et al. Pityriasis rosea is not associated with human herpesvirus 7. Arch Dermatol 1999;135:1070–2.
- 4. Kosuge H, Tanaka-Taya K, Miyoshi H, Amo K, Harada R, Ebihara T, et al. Epidemiological study of human herpesvirus-6 and human herpesvirus-7 in pityriasis rosea. Br J Dermatol 2000;143:795–8.
- 5. Chuh A, Zawar V, Law M, Sciallis G. Gianotti-Crosti syndrome, pityriasis rosea, asymmetrical periflexural exanthem, unilateral mediothoracic exanthem, eruptive pseudoangiomatosis, and papular-purpuric gloves and socks syndrome: A brief review and arguments for diagnostic criteria. Infectious Disease Reports 2012; 4:e12.
- 6. Kilinc F, Akbas A, Sener S, Aktas A. Atypical pityriasis rosea: Clinical evaluation of 27 patients. Cutan Ocul Toxicol 2017;36:157–62.
- 7. Balcı DD, Hakverdi S. Vesicular pityriasis rosea: An atypical presentation. Dermatol Online J 2008;14:6.
- 8. Stulberg DL, Wolfrey J. Pityriasis rosea. Am Fam Physician 2004;69:87-94.
- 9. Başkan EB, Turan H, Ercan İ, Yazıcı S, Özkaya G, Sarıcaoğlu H. Pitriyazis rozea olgularında demografik özellikler ve iklimsel faktorlerin incelenmesi. Turkderm 2011;45:97-9.
- 10. Harman M, Aytekin S, Akdeniz S, Inalöz HS. An epidemiological study of pityriasis rosea in the Eastern Anatolia. Eur J Epidemiol 1998;14:495-7.
- 11. Adhicari P, Das S. A hospital-based clinical study of pityriasis rosea in children. J Evid Based Med Healthc 2017;4:365-7.
- 12. Drago F, Broccolo F, Rebora A. Pityriasis rosea: An update with a critical appraisal of its possible herpesviral etiology. J Am Acad Dermatol 2009;61:303-18.
- 13. Mahajan K, Relhan V, Relhan AK, Garg VK. Pityriasis rosea: An update on etiopathogenesis and management of difficult aspects. Indian J Dermatol 2016;61:375-84.
- 14. Akbaş A, Kılınç F, Yakut Hİ, Metin A. Çocuklarda dermatolojik hastalıklar: 4025 hastanın prospektif analizi. Türkiye Çocuk Hast Derg 2015;1:6-11.
- 15. Urbina F, Das A, Sudy E. Clinical variants of pityriasis rosea. World J Clin Cases 2017; 5: 203-11.
- 16. Gündüz O, Ersoy-Evans S, Karaduman A. Childhood pityriasis rosea. Pediatr Dermatol 2009;26:750-1.
- 17. Çölgeçen E, Kader Ç, Ulaş Y, Öztürk P, Küçük Ö, Balcı M. Pityriasis rosea: A natural history of pediatric cases in the Central Anatolia Region of Turkey. Turk J Med Sci 2016;46:1740-2.
- 18. Oğrum A. Unilateral pityriasis rosea in a child: A rare clinical presentation. Turk J Pediatr 2017;59: 214-6.
- 19. Ermertcan AT, Özgüven A, Ertan P, Bilaç C, Temiz P. Childhood Pityriasis rosea inversa without herald patch mimicking cutaneous mastocytosis. Iran J Pediatr 2010;20: 237-41.
- 20. Balcı DD, Doğramacı ÇA, Çelik E, Yaldız M, Akansu B. Invers pitriyazis rozea: Nadir bir varyant. Dirim Tıp Gazetesi 2009;84:133- 7.
- 21. Ciccarese G, Parodi A, Drago F. Pediatric pityriasis rosea. Turk J Med Sci 2017;47:1302-5.
- 22. Karasatı S, Toğral AK, Akoğuz ÖÖ, Ekşioğlu M. Üçüncü basamak bir sağlık kuruluşunda 1 yıl içinde pitiriyazis rozea tanısı alan hastaların demografik ve klinik özellikleri. Turk J Dermatol 2015;1: 8-11.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | ORIGINAL ARTICLES |
| Authors | |
| Publication Date | September 23, 2019 |
| Submission Date | April 2, 2018 |
| Published in Issue | Year 2019 Volume: 13 Issue: 5 |
The publication language of Turkish Journal of Pediatric Disease is English.
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