Pityriasis Rosea


Welcome to Atlantic Dermatology located in
Wilmington, North Carolina. I’m Dr. Crane, I’m a board certified dermatologist, and I’m
here to talk about Pityriasis Rosea. Pityriasis Rosea is a condition that pops up usually
just once in your life, so at least you don’t have to deal with it on multiple occasions
and it’s a rash. You might have a sore throat or a little bit of an infection, then three/four
weeks later next thing you know you pop up with a spot that looks like a fungus or a
ringworm. And it will be first be noticed by a single circular area. It might be a circular
red area on your chest, for example, or on your back, and that we call the Herald Patch.
And the next thing you know, you got a lot of smaller spots that sometimes will follow
your skin lines around the belly, around your back/shoulders, and it looks almost like lots
of little spots of fungus popping up on you. Sometimes it itches, sometimes it doesn’t.
Now lets say you have this rash that pops up on you; if you do nothing whatsoever about
it, many a times it goes away in six to eight weeks, but in dark skinned patients it may
leave spots: dark spots, dark circular areas and you want to get rid of it because it may
itch or it may bother you or you just don’t like the looks of it, then topical steroid
creams are often helpful. So you go, you see your dermatologist, often they’ll prescribe
you something like Triamcinolone cream or sometimes even Prednisone by mouth. And if
you start in on a topical steroid or the Prednisone by mouth, you’ll often watch the rash disappear
in a matter of three or four days or so, and it clears up, and that’s the end of it. So
if you have Pityriasis Rosea, if you have what looks like fungus but doesn’t seem to
be responding to anti-fungal cream, then see your dermatologist.

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