Pityriasis rosea (PR) is a common, harmless human skin disease which presents as numerous patches of pink or red oval rash, mainly on the torso.
The condition appears to be entirely non-contagious, or of extremely limited virulence.
PR can affect members of either sex, at any age. Symptoms are not thought to recur at all, though the fact that a viral agent is likely involved means that radically different symptoms might be produced by the same agent later in life, and the link could go entirely unnoticed.
Symptoms of Pityriasis rosea
The symptoms of this condition include:
- Large patches of pink or red, flaky, oval-shaped rash on the torso. Due to similarities early in the disease course, the primary differential diagnoses are ringworm, psoriasis and discoid eczema.
- A single, large red “herald” patch may occur 1 to 20 days before smaller, more numerous patches of rash. Occasionally, the “herald” patch may occur in a ‘hidden’ position (in the armpit, for example) and not be noticed immediately. The “herald” patch may also appear as a cluster of smaller oval spots, and be mistaken for acne. Rarely, it does not present at all.
- The “herald” patch may be preceded by a sore throat of varying severity.
- The more numerous oval patches generally spread widely across the chest first, following the rib-line. Small, circular patches may appear on the back and neck several days later. It is unusual for lesions to form on the face, but they may appear on the cheeks or at the hairline.
- As the rash begins to subside on the torso, it may spread to the groin and the extremities. These lesions are usually more short-lived. However, males may have several lesions on their penis, which can be aggravated by the stretching of the skin involved in normal erection, and these may last substantially longer. Sexual intercourse should be avoided in such cases, and care should be taken to avoid secondary bacterial infection if the skin actually cracks.
- About one-in-four people with PR suffer from mild to severe symptomatic itching. (Moderate itching due to skin over-dryness is much more common, especially if soap is used to cleanse the affected areas.) The itching is often non-specific, and worsens if scratched. Luckily, this tends to fade as the rash develops and does not usually last through the entire course of the disease.
- The rash may be be accompanied by low-grade headache, fever, nausea and fatigue. Over-the-counter medications can help manage these.
- While PR can resemble the initial rash of secondary syphilis, the latter can be easily excluded by testing. Syphilis is thus no longer considered a valid differential diagnosis. (Furthermore, PR never involves the palms of the hands or soles of the feet, as secondary syphilis almost always does, nor does it form the whitish syphilis lesions known as condylomata lata.)
- Like most skin conditions that produce a widespread rash, PR can be damaging to a patient’s self-image. It also causes fear about scarring in most patients. Doctors should take care to calm such worries.
Treatment of Pityriasis rosea
No treatment is usually required. In most patients, the condition lasts only a matter of weeks; in some cases it can last longer (up to six months). A doctor should be consulted, if only to rule out other conditions.
While no scarring has been found to be associated with the rash, itching and scratching should be avoided. Irritants such as soap should be avoided, too; a soap containing moisturizers (such as goat’s milk) may be used, however, any generic moisturizer can help to manage over-dryness.
In cases of severe symptomatic itching, topical or oral steroids may be prescribed. (Steroids do provide relief from itching, and improve the appearance of the rash, but they also cause the new skin that forms (after the rash subsides) to take longer to match the surrounding skin color).
Doctor-operated UV therapy, or simple exposure to sunlight, also helps in some cases; serious precautions should be taken to avoid sunburn, though, as this will only exacerbate the problem.
Because research resources tend to be allocated to more serious conditions (an entirely self-limiting, non-contagious skin disease is not high on the list of medical priorities) there is limited information about the true range and prevalence of the disease.
The overall prevalence of PR in the United States has been estimated to be 0.13% in men and 0.14% in women. It most commonly occurs in those between the ages of 10 and 35.
Though multiple family members have been known to contract the disease at roughly the same time, this may be co-incidental; the fact that PR is far more common in the spring and autumn months points to environmental factors and not person-to-person contact as the main disease vector.
Reported levels from different dermatologic centers worldwide vary widely (from 0.03% to 3%). An increase in the prevalence of PR has been reported in a study out of Uganda, while no change in the prevalence of PR has been reported in a similar study conducted in Sweden. PR is not limited geographically, and has no racial predilections. It has been reported in the United Kingdom, United States, Canada, Nigeria, Sudan, Brazil, Lagos, Singapore, Turkey, Kuwait, and Hong Kong.
Homeopathy Treatment for Pityriasis rosea
Keywords: homeopathy, homeopathic, treatment, cure, remedy, remedies, medicine
Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution, family history, presenting symptoms, underlying pathology, possible causative factors etc. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions. A homeopathy doctor tries to treat more than just the presenting symptoms. The focus is usually on what caused the disease condition? Why ‘this patient’ is sick ‘this way’. The disease diagnosis is important but in homeopathy, the cause of disease is not just probed to the level of bacteria and viruses. Other factors like mental, emotional and physical stress that could predispose a person to illness are also looked for. No a days, even modern medicine also considers a large number of diseases as psychosomatic. The correct homeopathy remedy tries to correct this disease predisposition. The focus is not on curing the disease but to cure the person who is sick, to restore the health. If a disease pathology is not very advanced, homeopathy remedies do give a hope for cure but even in incurable cases, the quality of life can be greatly improved with homeopathic medicines.
The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications are also taken into account for selecting a remedy. To study any of the following remedies in more detail, please visit the Materia Medica section at Hpathy.
None of these medicines should be taken without professional advice and guidance.
Homeopathy Remedies for Pityriasis rosea :
Ars., ars-i., bac., berb–a., calc., carb-ac., clem., cocc., colch., fl-ac., graph., kali-ar., mang., merc., merc-p-r., mez., nat-a., nat-m., olnd., phos., pip-m., psor., sabad., sep., staph., sul-ac., sul-i., sulph., tell., ter., thyr.
Dr. Manish Bhatia
BHMS, BCA, M.Sc. Homeopathy (UCLAN, UK), CICH (IACH, Greece)
Dr. Manish Bhatia is the Founder Director of Hpathy.com, world’s leading homeopathy portal, serving homeopathy to more than half a million people every month. He is also Editor of Homeopathy for Everyone.
He runs a consultation office at Jaipur (Asha Homeopathy) and is one of the most well known Indian homeopaths globally. He has been practicing since 2001 and is helping Autism and other psychiatric patients since 2006. He was awarded Rajasthan’s foremost Raja Pajvan Dev Award For Excellence in the field of Medicine in 2015.
He has been working as an Asso. Professor of Organon of Medicine at S. K. Homeopathic Medical College since 2002. He was awarded with the prestigious APJ Abdul Kalam State Level Teacher’s Award in 2016. He has also given seminars and webinars in several countries of Europe, Americas and Australia.
He is the author of Lectures on Organon of Medicine Vol. I & II (English, Bulgarian, German editions), which are approved by the Central Council of Homeopathy (India) for BHMS and MD (Hom) syllabus. He is a contributing author to the book “Homeopathy and Mental Health Care: Integrative Practice, Principles and Research” and co-editor of “The Fireside Book of Homeopathy Tales.”