Atypical pityriasis rosea: a case report and a review of literature

Authors

  • Iqbal A. Bukhari University of dammam, Saudi Arabia
  • Suzan AlKhater University of Dammam and King Fahd Hospital of the University Al Khobar 31952, Saudi Arabia, Saudi Arabia

DOI:

https://doi.org/10.15587/2313-8416.2015.37943

Keywords:

pityriasis rosea, erythema multiforme, papulosquamous eruption, herald patch, purpura

Abstract

Aim: Pityriasis rosea (PR) is a common acute inflammatory skin disease characterized by pruritic erythematous papulosquamous eruption that is self-limited which can rarely pose a diagnostic challenge. In this report, we present a rare presentation of PR.

Method: the case was completely evaluated including laboratory works and a final diagnosis of erythema multiforme-like PR was reached. Besides, we reviewed all atypical presentations of PR that are reported in the medical literature.

Results: our patient has a morphological variant of PR which is erythema multiforme-like. The presence of a herald patch and  the rapid resolution of the symptoms supports our diagnosis. This variant is considered rare and to our knowledge, this is the seventh case of erythema multiforme-like PR reported in the medical literature.

In conclusion: we report a case of erythema multiforme-like PR. It is important that physicians recognize the wide spectrum of PR variants so that appropriate management can be arranged. 

Author Biographies

Iqbal A. Bukhari, University of dammam

Professor

 

Scopus profile: link

Professional (scientific) interests: dermatology 

 

Selected Publications:

1. Al-Nutaifi, K., Bukhari, I. (2010). Overgrowth of dermatofibroma induced by strong topical steroid use. Journal of Chinese Clinical Medicine, 5 (5), 308–309.

2. Bukhari, I., Alberiki, S. (2009). Post vaccination localized morphea. Journal of Chinese Clinical Medicine, 4 (10), 599–600.

3. Bukhari, I. (2009). Off label uses of Topical Pimecrolimus. Journal of the American Osteopathic College of Dermatology, 14 (1), 11–12.

4. Alakloby, O. M., Alzahrani, A. J., Obeid, O. E., Al-Jabre, S. H., Bukhari, I. A., Taha, A. (2009). Seroprevalence of Herpes Simplex Virus in Dermatology Patients. Journal of Saudi society of Dermatologiy and Dermatologic Surgery, 13 (2), 30–35.

5. Bukhari, I. (2009). Brief Communication: Clinical patterns of cutaneous tuberculosis at the Dermatology Department of King Fahad Hospital of the University in Alkhobar, Saudi Arabia during thirteen years period (1995-2007). Saudi Medical Journal, 30 (4), 577–579.

6. Bukhari, I., Faraidy, N. (2009). New pigmented papules on the forearm of adult. Dermatololgy Online Journal, 15 (2), 10.

7. Bukhari, I. (2007). Response letter for the article entitled: Treatment of halo nevus with 308-nm excimer laser. Jouranl of Cosmetic and Laser Therapy, 9, 245–248.


Suzan AlKhater, University of Dammam and King Fahd Hospital of the University Al Khobar 31952, Saudi Arabia

MD

Department of Pediatrics

College of Medicine

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Published

2015-02-26

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