Pityriasis rosea - pink dandruff of Gibert (Giber) - how to treat the most mysterious disease

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The disease occurs as a result of weak immunity. After recovery in patients, the body is able to produce antibodies to the pathology. Pityriasis rosea is an infectious disease. Rashes form on the skin, they are curable if therapy is prescribed in a timely manner.

Women are susceptible to deprivation much more often than men; it occurs in children aged 10 years. Pregnant women are susceptible to pathology as a result of hormonal changes. The peak of the disease occurs in the off-season, with weakened immunity.

Clinic specialists treat the disease. They will identify the causes, conduct research and prescribe therapy.

Varieties of pityriasis rosea

• Typical form. It is formed from the mother's plaque.
• Antitypical shape. There is no redness, but vesicles and blisters appear on the body. Itching appears and spreads to the face; this is not typical for a typical pathology. A rash is observed, small bubbles form, which merge into one whole, the size is 10 cm.

The flaky atypical form has several stages:

• itching on the skin, small rashes;
• the formation of papules that have a rough, fine-grained surface;
• Whole lesions are observed, they are noticeable among uninfected areas of the skin.

Symptoms of pityriasis rosea

The patient has a large pink spot. Its diameter is 20 mm or more. After a few days, the plaque becomes pale and yellow in color. The skin begins to peel off in the infected area. After the formation of spots, 3-5 days later they are observed on the body, arms, their diameter is 1 cm. The spots are pink, round or cylindrical in shape. The rashes begin to dry out and scales appear in the form of folds.

The patient's health worsens. Weakness, fever, headache, drowsiness, myalgia, redness of the throat, and poor appetite are observed. Based on the symptoms, pityriasis can be mistaken for an allergy. In this case, self-medication will lead to a deterioration in the patient’s health. The symptoms of the pathology are similar to other dermatological diseases.

The spots cover the back, thighs, arms and cause itching. They form within 3 weeks, then slowly disappear. The total duration of the pathology is up to 2 months. Dermatologists at the medical clinic treat patients with severe and initial forms of the disease.

Sources

• Anderson KR: Treatment with dapsone in pityriasis versicolor vesicularis rosea, 1971;
• Andrews GK: Skin Diseases 1954;
• AranjoT. et al.: Human Herpesviruses 6 and 7, 2002;
• Bernhardt R.: Skin diseases: 1922;
• Bjornberg A, Hellgren L: Pityriasis rosea. Statistical, clinical and laboratory research, 1962;
• Buckley K: Rash resembling pityriasis rosea in a patient receiving omeprazole, 1996;
• Gutowski W.: Attempt to treat Gibert's pink dandruff with bismuth and penicillin, 1950;
• Kempf W. et al.: Pityriasis rosea is not associated with human herpes virus, 1999;
• Parson JM et al: Update on pityriasis rosea, 1986;
• Sharma PK, Yadav TP: Erythromycin for pityriasis rosea, 2000;
• Wass I.: Treatment of pityriasis rosea with nonspecific substances, 1948.

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Diagnosis of pityriasis rosea

The doctor will perform a diagnosis. At the first examination, he identifies the presence of a maternal plaque and determines the extent of the spread of rashes on the surface of the skin. Rarely, the pathology is similar to measles, eczema, rubella. The rash is similar to syphilis and is one of the signs of the disease.

Research is needed to confirm the disease. A urine and blood test will be required. If syphilis is suspected, a Wasserman test is performed. Also, a scraping is taken from the infected dermis and an examination is performed under a Wood's lamp. Diagnosing the disease in its early stages is difficult because maternal plaque is similar to other diseases. Doctors have extensive experience in treating pityriasis and will quickly identify it.

Diagnosis is prescribed by a dermatologist. Research is required to detect antibodies to the virus in a patient.

Differential diagnosis of pityriasis rosea with other diseases

The disease is differentiated from psoriasis, parapsoriasis, seborrheic eczema, syphilis, trichophytosis. The pathology differs from seborrheic eczema by the maternal plaque, the location of rashes that are not characteristic of eczema. Among other things, with seborrheic eczema the scales are often greasy.

Unlike psoriasis, lichen is spotty; it does not appear on the feet, hair, or hands. Difficult diagnosis is observed in the first stage of the disease.

There is a similarity between the disease and parapsoriasis; the spots may be similar. However, peeling and identical spots are not characteristic of lichen.

Lichen differs from syphilitic roseola in its brightness and the presence of peeling, since this is rarely found with syphilis.

Treatment of pityriasis rosea

To eliminate the disease, the dermatologist prescribes ointments, creams and tablets. These include:

• Acyclovir. It is used to inhibit pathogens. Experts advise applying cream or ointment every 4 hours. You can take the medicine in tablets.
• Flucinar. Reduces the formation of allergies, used for external use.
• Sinaflan. The medicine is an antihistamine, it is prescribed when lichen appears in children from 3 years of age and in adults. It is not recommended to use it for more than 7 days.
• Lokoid. Helps with allergies for women and when breastfeeding.
• Lorinden. Restores immunity, renews sleep, speeds up the healing process.
• Salicylic and zinc ointments. They have an antiseptic effect, prevent new skin rashes, and the spots dry out very quickly.

Dermatologists prescribe antiviral and antihistamine medications for therapy. If the pathology appears as a result of infection, antibacterial drugs are prescribed. Hormonal medications are prescribed in severe cases, if the disease is complicated by other chronic diseases.

For prolonged lichen, patients are prescribed antiviral drugs, it is recommended to treat stains with salicylic alcohol, as well as the use of ointments.

For symptoms of intoxication, the doctor prescribes activated charcoal as an auxiliary medicine.

The doctor prescribes antihistamines during therapy. These include Claritin, Tavegil, Loratadine, Suprastin. Taking medications is possible only on the recommendation of a doctor.

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Methods of infection

To date, there is no consensus on the methods of infection.
There is an assumption that the source of the disease is the herpes virus and that people with low immunity, those who have recently suffered viral infections, colds, and who are often hypothermic are primarily at risk of contracting Zhiber's disease. Women and children have a significantly higher risk of infection than men. Observations show that people over 40 years of age and infants practically do not become infected with this infection. Is this disease contagious? There is no clear answer to this question. There is an opinion that it can be transmitted through tactile contact or airborne droplets. A prerequisite for a person to become infected is the presence of a provoking factor. In practice, it has been noted that transmission of this virus from one person to another occurs infrequently.

Prevention of pityriasis rosea

• regular walks;
• reduce consumption of fatty foods and foods containing dyes;
• include multivitamins in your diet only on the recommendation of a dermatologist;
• change bed linen and clothes regularly;
• Perform water procedures regularly;
• undergo preventive examinations;
• avoid stress;
• Do not use hard washcloths that irritate the skin.

The diet should be balanced; our doctors will recommend that the patient monitor the amount of carbohydrates and proteins. It is better to include fermented milk products, cereals, bread, and lean beef in the menu. Vegetables and berries are useful for treating the disease.

How to avoid infection

Due to the fact that the nature of the occurrence of Gibert's disease has not been thoroughly studied, there are no methods to prevent this disease. The main recommendation is to monitor the state of the immune system, as it will help avoid infection.

Complications

The disease itself in most cases goes away without leaving a trace. However, sometimes complications arise in the form of eczema, staphylococcus or streptococcus; ring-shaped lichen can develop, which quite often becomes chronic and even after a few years a relapse can occur. Then treatment is done with antibiotics. To prevent such problems, we strongly recommend that you undergo comprehensive treatment in our clinic. Don't forget about your health and the health of your family!

Complication of pityriasis rosea

Relapses do not occur very often, but in some cases there are complications. These include folliculitis, eczema, osteofolliculitis and others. Re-infection can occur as a result of wearing uncomfortable clothes, not following therapy, or in people who suffer from allergies.

Secondary disease is typical on skin that is subject to stretching: thighs, groin, forearms. Infection appears in the sweat glands or on the skin of the face. If you notice the appearance of lichen, immediately contact a specialist. Timely treatment will avoid negative consequences.

Help from a dermatologist in Moscow

Diagnosis and treatment of pityriasis rosea is the field of activity of a dermatologist. Depending on the form of the disease and the extent of skin damage, the patient is provided with recommendations. With lichen, the emotional and psychological background of a person is important, so promptly making a correct diagnosis allows you to quickly overcome the disease.

You can make an appointment with a dermatologist at Meditsina JSC (academician Roitberg’s clinic) by phone. You should not self-medicate. The reason is that, according to external signs, skin rashes may turn out to be differential diseases, for example, toxicerma, psoriasis, mycosis, secondary syphilis. In these cases, it is necessary to prescribe another therapy, taking into account the specific clinical picture and medical history of the patient.

Pityriasis rosea in children

Pityriasis is diagnosed in children over 5 years of age. The dermatologist prescribes antihistamines and multivitamins to patients, which restore the immune system. For children under 2 years of age, the doctor prescribes antiseptics and zinc ointment.

Children with weak immunity are susceptible to pathology in the fall and spring. The disease is diagnosed more often in girls, less often in boys. Rashes are rare in infants. The reason is overheating or hypothermia of the baby.

Causes of skin disease:

• allergic reactions to foods or fabrics;
• intestinal disorder;
• depression, emotional turmoil;
• insect bites.

The specialist will recommend medications to speed up recovery. The disease period is up to 2 months. To destroy microorganisms, it is necessary to take antibiotics, and for allergies - antihistamines. At high temperatures, the doctor prescribes antipyretic tablets.

Causes of pityriasis

Despite the fact that Gibert's disease is very common, the mechanism of the disease is not fully understood. The following factors are believed to play an initial role:

1. Exposure to viruses (type 7 herpesvirus, etc.), bacteria and other infectious agents. This is confirmed by tests that prove the presence of pathogens in the body. Very often, skin disease appears against the background of influenza, acute respiratory infections and other infections.
2. Attachment of allergic reactions.
3. Bites from bedbugs, lice and other blood-sucking insects.
4. Reduced immune defense.
5. Frequent hypothermia and stress.
6. Violation of gastrointestinal functions and metabolism.
7. Introduction of vaccines.

Pityriasis rosea during pregnancy

The appearance of pityriasis is frequent with hormonal changes in the patient’s body or with a reaction to any foods. The pathology can be dangerous for the health of mother and baby, but it causes discomfort, itching and spots appear. The cause of the disease is weak immunity.

During lactation, women are not prescribed hormonal or antiviral drugs. When itching occurs, the dermatologist prescribes antihistamines, taking into account the woman’s condition. Ointments containing zinc are prescribed as external agents.

In pregnant women in the early stages, lichen has a negative effect on the fetus, since the disease is infectious. The child will not be able to become infected, but there is a possibility of miscarriage or the birth may be premature. Patients who are up to 15 weeks pregnant are susceptible to infection.

If lichen appears, you should consult a doctor. He will prescribe antihistamines in case of swelling, antibiotics if the disease causes complications. He will also prescribe vitamins C, A, B. Sedatives will need to be taken if there is a risk to the fetus. Taking medications on your own is not recommended, as this may have a negative effect on the child.

Nutrition and diet

For pityriasis rosea, a hypoallergenic diet is prescribed.

The diet must be followed for 2-3 weeks for adults and 7-10 days for children. Before using the diet, consult your doctor.