Pityriasis Rosea with Palmoplantar Lesions

Title: Pityriasis rosea with palmoplantar plaque lesions.
: Bukhari I
Publication: Dermatol Online J. 2005 Mar 1;11(1):27.

Pityriasis rosea is a skin disease characterized by itchy red patches with sharply defined borders. It affects mostly adolescent and young adults. The lesions usually affect the trunk of the body in a Christmas-tree pattern and the rashes usually resolve themselves after 6 weeks.

The author reported two patients with pityriasis rosea, with an unusual outbreak of rashes on the palms of the hands and soles of the feet. These two patients tested negative for RPR (Rapid Plasma Reagin blood) and MHA-TP (Treponema pallidum antibody by TP-PA test), which tested for syphilis infection.

These patients responded to 2 weeks of oral antibiotics treatments of erythromycin or clarithromycin and their rashes cleared up completely.

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