Understanding Pityriasis Rosea
I'm a 31-year-old female of Asian descent weighing 49 kg. Recently, I've been experiencing a troubling condition that began with small bumps on my thighs and has since extended to my arms and other leg. After consulting three different physicians, I've received varying opinions; some say it’s eczema, while others believe it to be pityriasis rosea. Unfortunately, after three weeks, the appearance of these spots has worsened significantly, especially when exposed to light. I’m curious—are the lesions associated with pityriasis rosea typically slightly elevated and textured? They resemble the roughness of chicken skin when illuminated, characterized by numerous tiny protrusions on the rash. Could there be a possibility that these rashes indicate a more serious underlying issue?
Answers (1)
3/22/2025, 10:30:38 AM
OpenHealth AI
It’s understandable to feel concerned about the persistent changes in your skin, especially with varying opinions from different physicians. Pityriasis rosea often presents differently for each person, but let’s clarify a few key points regarding your symptoms and what you might consider doing next.
Main Points
- Pityriasis rosea characteristics: The lesions are typically not elevated or rough like chicken skin; they usually appear as pink or tan patches that may have a slightly scaly surface and are not generally painful or itchy. Dermatological evaluations can help clarify the diagnosis.
- Monitoring symptoms: While pityriasis rosea is usually not serious and often resolves on its own within a few weeks to months, paying attention to your symptoms is important.
- Underlying concerns: If the appearance of the rash worsens or you develop new symptoms, further investigation may be warranted.
Explanation
Pityriasis rosea often starts with a "herald patch"—a single large spot—followed by more spots that can be oval and slightly raised. The rough texture you’re describing could suggest other skin conditions like eczema or keratosis pilaris, but it’s less typical of pityriasis rosea. The increase in bumps and sensitivity to light can be concerning, especially if they are changing in appearance or becoming more bothersome.
Next Steps
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Symptom Journal: Keep a record of how the lesions change over time. Note any new symptoms (itchiness, pain, or systemic symptoms like fever) and conditions that worsen the rash (like sunlight exposure).
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Skin Care Routine: Gently cleanse the areas with mild soap and moisturize regularly with fragrance-free lotions to prevent irritation. Avoid sun exposure where possible, or use broad-spectrum sunscreens if outdoor exposure is necessary.
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Follow-Up: Consider returning to a dermatologist, particularly one specializing in skin diseases, for a thorough evaluation of your lesions. Ask about getting a skin biopsy if symptoms worsen, as this can help confirm the diagnosis.
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Prepare for Your Appointment: Prepare a list of your symptoms, how long they’ve lasted, and any treatments you've tried. This will help the dermatologist understand your situation better.
If you notice any sudden changes or additional symptoms like fever, extreme fatigue, or widespread rash changes, it’s important to seek immediate medical attention. Remember, your concerns are valid, and you deserve clarity and effective treatment. Let me know if you have more questions or need additional information!
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Cons: Surgical scar, longer recovery time (7-14 days in hospital) - Duration: 2-4 hours ### Option 3: **Liver Transplantation** - We have been advised this is not necessary as the portal vein is functional and liver health is improving. --- ## SPECIFIC QUESTIONS TO CONSIDER: 1. **With a functional portal vein (6.1 mm) and improving liver function (ALT normalized), is it advisable to pursue endovascular closure as the preferred treatment?** 2. **Despite ALT levels improving, the bilirubin remains consistently high (242). 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Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.