1. What is the most probable diagnosis?
2. What was that initial solitary lesion?
3. What are salient features of this eruption?
4. How long does this disease last?
5. How one should manage it?
Answers And Discussion:
1. What is the most probable diagnosis?
2. What was that initial solitary lesion?
Answer: Initial solitary lesion is called Herald patch. It may appear on any part of the body and its size varies from 1-10 cm diameter. It is annular and has a raised border and adherent fine scales. So, it is often confused with tinea corporis lesion.
3. What are salient features of this eruption?
Answer: After 5-10 days of appearance of herald patch, a generalized eruption of oval pink to brown slightly raised lesions approximately 1 cm in size with fine scales. They mainly affect the trunk and arms. Some times other parts of body may also be affected. Some lesions may clear central and demonstrate a collarette of scales attached only at the periphery. Long axis of lesions is parallel to cleavage lines of the skin. It produces a classical Christmas tree pattern.
4. How long does this disease last?
Answer: Lesions may come in crops for 2-12 weeks. It heals with some hypo- or hyperpigmentation. One attack of pityriasis rosea results in life long immunity. Second attacks are rare.
5. How one should manage it?
Answer: Usually, no treatment is required except the reassurance regarding its benign and self limiting nature. It may be asymptomatic or associated with pruritis for which oral antihistamines or topical soothing lotion as calamine lotion or emmolients are enough.
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I told my Aunt,luckily it was the same Dr,we where referred to few months back by my pastor in church whom members have being testifying about of his cure We did contacted him and explained my problem to him.He prepared the medicine and sent to me with details of how to use and apply. After a while, I began to feel more strong than never before, I felt so lucky and happy when my Doctor congratulated me that he could found no HIV virus again in me. I knew I was free cos my body was so strong. His herbal medicine should have saved my parents life, i said!
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