Vano-Galvan Sergio, Ma Dong-Lai, Lopez-Neyra Alejandro, Perez Bibiana, Muñoz-Zato Ernesto, Jaén Pedro
Department of Dermatology, Ramon Y Cajal Hospital, University of Alcala, Madrid, Spain, Carretera Colmenar km 9.100 28034, Madrid, Spain.
Cases J. 2009 Apr 29;2:6796. doi: 10.1186/1757-1626-0002-0000006796.
Pityriasis rosea is a self-limited inflammatory condition of the skin that mostly affects healthy children and adolescents. Atypical cases of Pityriasis rosea are fairly common and less readily recognized than typical eruptions, and may pose a diagnostic challenge.
We report the case of a 12-year-old black child that developed an intense pruritic papular eruption with intense facial involvement that was diagnosed of Pityriasis rosea and resolved after five weeks leaving a slight hyperpigmentation.
Facial and scalp involvement, post-inflammatory disorders of pigmentation and papular lesions are characteristics typically associated to black patients with Pityriasis rosea. The knowledge of features found more frequently in dark-skinned population may be helpful to physicians for diagnosing an atypical Pityriasis rosea in these patients.
玫瑰糠疹是一种自限性皮肤炎症性疾病,主要影响健康儿童和青少年。玫瑰糠疹的非典型病例相当常见,比典型皮疹更难识别,可能带来诊断挑战。
我们报告一例12岁黑人儿童病例,该患儿出现剧烈瘙痒的丘疹性皮疹,面部受累严重,被诊断为玫瑰糠疹,五周后皮疹消退,仅留下轻微色素沉着。
面部和头皮受累、炎症后色素沉着紊乱以及丘疹性皮损是黑人玫瑰糠疹患者通常具有的特征。了解深色皮肤人群中更常见的特征可能有助于医生诊断这些患者的非典型玫瑰糠疹。