Pityriasis rosea- what are the treatment options?
A 28-year-old woman is in the 38th week of her first pregnancy. She reported that the rash had appeared 10 days earlier. She complained on scaly patches with peripheral collarette scaling mostly over the upper trunk and thighs accompanied with light itching. A few days later, a similar rash appeared on her husband's skin. Upon examination of the female patient, a skin rash consisting of oval-shaped salmon-colored patches and papules, up to 1.5 cm in diameter, surrounded by light white scales located on her neck, chest, thighs and upper limbs was noticed. A larger oval shaped lesion on the left thigh (‘herald patch’) had appeared a few days before the generalized rash showed. What are the treatment options?
@dipanwita The self-limited course of pityriasis rosea allows for watchful waiting and symptomatic treatment of pruritus in most patients. Treatment with oral antihistamines or topical or oral corticosteroids is advised based on expert consensus and low potential for harm. Patients with more severe disease or those who choose active treatment should weigh the potential benefits of faster resolution against the adverse effects associated with these therapies.