Initially the typical lesion consists of an irregular, round or oval, pink patch, sometimes with an elevated, and slightly erythematous border, varying in size from a few millimeters to a few centimeters. Cultures of scrapings from 68 lesions grew common skin contaminants except in three cases where trichophyton spadix was isolated. Pityriasis versicolor is a common superficial fungal infection of the skin. Pityriasis alba pa is a localized hypopigmented disorder of childhood with many existing clinical variants. Pityriasis alba pa is a frequent cause of consultation in tropical areas due to its chronic course, frequent relapses, and notorious hypopigmented lesions in pediatric dark skin populations. If you get it, you might feel like you have a cold at first. Sep 30, 2008 pityriasis alba pa is a common disease, usually seen in children. We present a 10yearold saudi girl with multiple hypopigmented scaly patches with central bluish hyperpigmentation over the face of one year duration. Its most frequently seen in children between the ages of 6 and 12 years. Extensive pityriasis alba is believed to be a primary, acquired hypopigmentation observed in females aged 1825 years of mixed ethnic origin. Aplicar bloqueador solar y utilizar proteccion solar puede ayudar a prevenir las quemaduras solares.
Tell the interpreter the name or extension you need. There is also a rare, severe variant of pleva called. Pityriasis alba is a benign skin condition that usually occurs to young children. Pityriasis alba is a disorder commonly associated with atopic dermatitis, usually presenting as hypopigmented, irregular patches on the face, head, neck, and forearms in children and young adults. Topical steroids eg, hydrocortisone 1%, desonide 0. The patches vary from 1 to 2 inches in diameter, they are most common on the face cheeks. Apr 03, 2020 because pityriasis alba is usually selflimited and asymptomatic, pharmacologic treatment is often unnecessary. Regular use of fragrance free moisturizers is the best way to prevent pityriasis alba. Oct 29, 2015 pityriasis rosea is an acute exanthem that may cause patients great anxiety but is self limiting and resolves within one to three months. Pityriasis alba is most common in children and adolescents. Pityriasis alba pictures, symptoms, causes, treatment.
Pityriasis alba is a common skin condition causing hypopigmented facial patches in children and occasionally young adults. Hypopigmentation more obvious, also erythema and scale towards the nose suggesting an underlying eczema. Pigmenting pityriasis alba is a rare variant of pityriasis alba. Pityriasis rosea is an acute exanthem that may cause patients great anxiety but is self limiting and resolves within one to three months.
It is common among children and young adults between 3 and 16 years old. Pityriasis rosea pr is a papulosquamous disorder first described by robert willan in 1798 but under another terminology. May 30, 2008 pityriasis rosea pr, an acute illness marked by a papulosquamous eruption, mainly affects children and young adults. Certain environmental, genetic, and immunological factors can predispose to this pathogenic conversion and contribute to the. It is selflimiting and usually only requires use of moisturizer creams. Pdf assessment of vitamin d status among cases with. From outside the hospital, call the tollfree family interpreting line, 18665831527. Pityriasis rosea pr is a benign papulosquamous disorder seen commonly in clinical practice. Srpe yr p dt skills hypopigmented lesions on an 11yearolds. It is caused by malassezia, a lipophilic dimorphic fungus. In general no treatment is needed, or of help the condition is selflimiting and the colour.
The inflammatory skin rashes may progress through the following 3 stages. Pityriasis alba pa is a common benign condition mainly affecting the head and neck regions of preadolescent children, more noticeable in darker skin types and there is no gender or skin type predilection wolff et al. Pityriasis alba treatment, causes, pictures and remedies. Pityriasis alba pa is a common disease, usually seen in children. Jul 21, 2017 pityriasis alba is generally observed in children between age groups 3 and 16 years. Personal hygiene habits, sun exposure, presence of staphylococcus aureus in nasal fossae. Assessment of vitamin d status among cases with pityriasis alba.
Pityriasis alba is a selflimiting disease, which lasts for 612 months without any treatment. The cause of pityriasis rosea is uncertain but epidemiological seasonal variation and clustering in communities and clinical features. Miriam hanson, board certified dermatologist in austin, texas. Despite its prevalence and benign nature, there are still times when this common disorder presents in an uncommon way or course posing diagnostic or management problems for the treating physician. This condition is a mild form of dermatitis and can last for a month but if left untreated, it can last for a year. For years articles and reports of cases have appeared in dermatologic journals and texts describing superficial, scaling, nummular lesions with residual hypopigmentation, occurring principally on the faces of. Pityriasis alba is a common cutaneous disorder characterized by asymptomatic hypopigmented patches on the face, neck, trunk and proximal extremities of children and young adults. Pdf background pityriasis alba, is a common benign skin disease occurring predominantly among children, often on their face. Pityriasis alba is generally observed in children between age groups 3 and 16 years. Alba is a relatively common skin disorder characterized by the presence of fine scaly hypo pigmented macules or patches. May 19, 2017 there is no specific cause of pityriasis alba, but some factors may trigger of disease, such as, heat in the summer season, soap or detergents, stress, dry skin, worm infection, and last but not the least vitamin deficiency. The cause is unknowninfection with a virus may be involved. But for those who develop pityriasis alba, the redness, inflammation, and change in skin color is understandably alarming.
Pityriasis alba pityriasis alba is a common nonspecific skin disorder characterized by hypopigmented, round or oval macules or patches with fine, loosely adherent scales and indistinct margins. November 20 indian journal of dermatology, venereology and. Pityriasis alba is a common skin condition in children and teenagers. Children with this extremely common condition develop round or oval, light colored patches after sun exposure. There was no gender variability for this skin disorder and was prevalent all over the world. The condition tends to be more common in dry winter months, however the patches may be more noticeable in summer when the surrounding skin is tanned and the colour difference between the whitish patches and the tanned skin is more obvious. It is selflimiting and usually only requires use of moisturizer creams the condition is so named for the fine scaly appearance initially present, and alba latin for white refers to the pallor of the patches that develop. The presence of atopy signs was more common in pityriasis patients p 0. Pityriasis alba is common worldwide with a prevalence in children of around 5%. Pityriasis alba is considered to be a lowgrade eczematous dermatitis and is regarded as a minor feature of atopic dermatitis. The rash usually begins gradually, with a single herald patch, followed by a more widespread rash on the back. More frequent attacks of pityriasis alba are found in individuals with a lighter skin, but the condition is more apparent in individuals with a darker skin. Pityriasis alba is a lowgrade type of eczema or dermatitis that is noncontagious and benign. Dec 15, 2017 pityriasis alba is a disorder commonly associated with atopic dermatitis, usually presenting as hypopigmented, irregular patches on the face, head, neck, and forearms in children and young adults.
The condition is more common in males than females. Lighterskinned individuals are normally more susceptible to dry patches as well as other abnormal dermatological disorders than those with a dark, rather black skin. Mar 14, 2002 pityriasis versicolor is a common superficial fungal infection of the skin. Histological examination revealed features of pigmenting pityriasis alba.
It is often an incidental finding on physical examination because it is usually. However, there are ways to treat and prevent it, and most people outgrow the condition over time. Although the disease is selflimited, usually resolving after 6 to. Children with this extremely common condition develop uneven, round or oval patches after sun exposure. The objective of this study was to assess the possible aetiopathogenic factors of this disease in infants.
Pityriasis alba may be itchy but more commonly there are no symptoms associated with the condition. Age and sex distribution pityriasis alba generally affects children between 3 and 16 years old. Some studies implicate a viral cause, especially a primary or reactivated infection with human herpes viruses hhvs 6 and 7, but the evidence is inconclusive. Its etiology and pathogenesis are still poorly understood. Pityriasis alba is actually a relatively common and benign condition that can usually be addressed with relatively straightforward measures, says dr. Subsequently, various names have been given to this disorder such as pityriasis circinata, roseola annulata, and herpes tonsurans maculosus. Pityriasis alba is a lowgrade type of eczema dermatitis that primarily affects children. Pityriasis rosea pitihryeuhsis rowzeeuh is a scaly, reddishpink skin rash thats common in children and young adults. Under certain conditions, both exogenous and endogenous, the fungus can convert from a yeast to a pathogenic mycelial form. A case of extensive pityriasis alba pubmed central pmc. Journal of cosmetics, dermatological sciences and applications vol.
Initially the typical lesion consists of an irregular, round or oval, pink patch, sometimes with an elevated, and slightly erythematous border, varying in size from a few. Pityriasis alba is a skin condition that commonly happens to children and to young adults, but any person can acquire it as well. Pityriasis lichenoides pl is a skin condition characterized by small, raised pink spots that tend to come together in groups. He was unable to account for its pathogenesis and kept unnamed for many years. The lesions are frequently limited to the face, but the neck, arms, and shoulders can also be involved 1. Pityriasis alba versus vitiligo clinical and histopathological study. This fungus is part of the normal skin flora but can cause disease when it converts to its pathogenic hyphal form. For years articles and reports of cases have appeared in dermatologic journals and texts describing superficial, scaling, nummular lesions with residual hypopigmentation, occurring principally on the faces of children. Typically, patchy areas of lighter skin color appear on the face, upper arms, neck, or shoulders. Srpe yr p dt skills hypopigmented lesions on an 11year. The condition occurs almost exclusively in children. Clinical and laboratory studies were performed on 200 children and adolescents having facial skin lesions characteristic of pityriasis alba. It typically starts with the development of a large erythematous scaly plaque also called the herald patch or mother patch on.
Jan 09, 2017 pityriasis lichenoides pl is a skin condition characterized by small, raised pink spots that tend to come together in groups. Based on studies, the skin disorder is often seen in children ages 6 to 12. Thirty eight patients with pityriasis alba group a and twenty eight patients with vitiligo group b and twelve patients with both pityriasis alba and vitiligo in the same patient group c were included in this study. For years articles and reports of cases have appeared in dermatologic journals and texts describing superficial, scaling, nummular. Pityriasis alba pa is a common benign condition in children that has no definitive treatment. Pityriasis alba is a common skin condition in children. It occurs in approximately 2 to 5 percent of children. Recent studies have found direct correlations between the incidence of pa and atopy, amount of sun exposure, lack of sunscreen use, and frequency of bathing. Pityriasis means scaly or flaky and alba is a latin word for white, this gives us white scales or flakes. These lesions eventually subside, leaving hypopigmented areas that then slowly return to. Pityriasis rosea pr, an acute illness marked by a papulosquamous eruption, mainly affects children and young adults. The term is derived from the words pityriasis scaly and alba white. Pityriasis alba to learn more dermatology 2069872158 ask your childs healthcare provider free interpreter services in the hospital, ask your nurse.
Infantile pityriasis alba and comorbid disorders article pdf available in pediatric health 31. Homeopathic remedies for the treatment of pityriasis alba. It is more often detected in individuals with a darker complexion but may occur in. Children having other ailments like asthma, hayfever, eczema or dry skin are found to be at greater risk. Pityriasis rosea is a common rash in teens and young adults, although it may occur in younger children. Pityriasis alba is a disorder commonly associated with atopic dermatitis, usually presenting as hypopigmented, irregular patches on the face, head, neck, and forearms in. Its pathogenesis has not been definitely clarified. Pityriasis alba primary care dermatology society uk. Background the aetiology of pityriasis alba pa, a common dermatosis in childhood, is still controversial. Pityriasis alba pictures, causes, diagnosis and treatment. Jun 19, 2008 pityriasis alba is latin for white, scaly patches and it is the most common cause for them in childhood. It is found in common amongst all races equally, however, observed more prevalent in darkskinned people than with a light tone and occurs more commonly. Pityriasis alba, a relatively common skin disorder in children and young adults, is characterized by the presence of illdefined, scaly, faintly erythematous patches.
Pdf infantile pityriasis alba and comorbid disorders. If your skin is inflamed, itchy, or red, your doctor may prescribe a corticosteroid or a nonsteroidal cream. Sometimes steroid creams for the skin are used to treat more severe forms of the condition. Pityriasis alba is a skin condition, a type of dermatitis, commonly seen in children and young adults as dry, finescaled, pale patches on the face.
783 127 1530 765 23 1241 1462 816 102 1370 1346 1526 973 604 832 847 33 1398 275 928 314 94 387 837 52 84 746 134 1171 754 356 713