Zhiber's lichen versicolor is a mycosis, that is, a fungal infection. But this is an unusual fungal infection.
The fact is that our body is not sterile. There are many microorganisms that inhabit our body and quite a large number of them live on the skin.
Is this scary? Of course not, because normal microflora skin (and this includes streptococci, staphylococci, Escherichia coli and enterobacteria and many many others) helps in the formation of a lipid film that protects our skin from various chemical, physical and biological traumatic factors. A change in the quantitative or qualitative composition of microflora is called dysbacteriosis (dysbiosis) of the skin.
Localization and prevalence
On the body, pityriasis rosea is localized mainly in the upper part of the body. Lesions most often occur between the ages of 10 and 40; women are affected more often than men.
Causes
In order for Malassezia to begin to reproduce, it needs special conditions, namely: increased skin greasiness and increased sweating, increased humidity, neutral or slightly alkaline environment.
All this can be achieved with the help of external contributing factors: for example, high physical activity, being in a hot climate, working in hot shops - will give increased humidity and sweating; sunbathing for more than 20 minutes a day reduces immunity and changes the pH of the environment.
Good conditions can also be achieved using internal factors: seborrhea, acne - contribute to additional sebum formation, diseases of the endocrine glands, vegetative-vascular dystonia contribute to increased sweating, chronic diseases of organs and systems contribute to a decrease in immunity, which means a change in the quantitative composition of the microflora, including on the skin, a change in the pH of the environment.
Conclusion: if Malassezia has multiplied, it means either the patient leads a lifestyle that is conducive to the growth of the fungus, or there are health problems.
Factors predisposing to the occurrence of pathology are:
- Decreased immunity.
- Stress.
- Frequent hypothermia.
- Hypovitaminosis.
- Acute bacterial and viral diseases.
- Predisposition to allergies.
- Close contact with a sick person and use of his personal belongings.
Symptoms
Often, pityriasis rosea in humans begins with the appearance of a maternal plaque on the body. This is a round pink spot ranging in size from 2 cm to 5 cm, the center of which turns yellow over time. General weakness, increased body temperature and increased lymph nodes. After 1-2 weeks, spots measuring 5-10 mm appear around the maternal plaque. Peeling appears in the center of the lesions, and a reddish border appears at the periphery. There is slight itching. The formation of small spots without maternal plaque occurs less frequently.
3-4 weeks after the onset of the disease, the spots become brownish-brown and begin to peel off heavily, and after another 3-4 weeks they disappear. With constant skin irritation, pityriasis rosea can develop into an atypical form. It is characterized blistering rash And chronic course. Such complications arise due to frequent washing of the lesions with a washcloth and application of irritating substances (sulfur ointment, tar) to them.
Diagnostics
The diagnosis is made on the basis of the characteristic rash and localization of the lesions; scrapings of the lesions are taken to clarify it. Pityriasis rosea differentiated from:
- Eczema.
- Psoriasis.
- Secondary syphilis.
- Skin mycoses.
- Parapsoriasis.
Treatment
In the normal course, treatment is not prescribed. To relieve severe itching, local or systemic antihistamines and corticosteroids are used. If the lesions become infected, antibacterial agents are prescribed.
Folk remedies
Treatment with traditional methods can eliminate itching, reduce peeling and speed up recovery. The most popular recipes are:
- Place the crushed stem of celandine in a dark bowl, add vodka and leave for 3 weeks, shaking every day. Then strain and drink 10 drops 2-3 times a day before meals. Apply the same product to the lesions 2 times a day.
- Mix 20 g of calendula flowers and 100 ml of petroleum jelly. Leave for 2 days, then apply to affected skin 2-3 times a day.
- Pour a tablespoon of horse sorrel roots with a glass of boiling water and leave on low heat for 20 minutes. Moisten gauze with the decoction and apply to the lesions 2 times a day for 15-20 minutes.
- Mix 2 tablespoons of zinc oxide, glycerin and purified water. Treat the lesions with the resulting mixture, sprinkling talcum powder on top. After 10-15 minutes, wipe the skin apple cider vinegar.
Prognosis and complications
The prognosis is favorable; when exposed to irritating factors, a transition to an atypical form with a chronic course is possible. In this case, there is a risk of eczema and infection.
Prevention
There is no primary prevention. To prevent the disease from becoming an atypical form until symptoms disappear completely, you should avoid:
- Taking baths and using products that dry out the skin.
- Prolonged exposure to sunlight.
- Wearing clothes made of synthetics and natural wool.
- Scratching and rubbing the lesions.
- Eating spicy, smoked and pickled foods, alcohol, coffee, honey, eggs, fish, chocolate and citrus fruits.
Photo
Pityriasis rosea (Pityriasis rosea) is one of the varieties of lichens that affects skin person. The term translated from Latin language literally means “scaly roseola.”
The disease received another name (Giber's lichen or Giber's pityriasis rosea) thanks to the famous French dermatologist and syphilidologist Camille Giber, who practiced in a Paris hospital in the mid-nineteenth century.
The prevalence of pityriasis rosea is insignificant. Ringworm affects about one percent of people worldwide over the course of a year. Both adults and children are susceptible to the disease, and it is usually the fairer sex who suffer. The age range is: for children - from four years to fourteen, for adults - after forty.
It is not completely known whether it is correct to consider the following causes of pityriasis rosea:
- disturbances in the epidermis due to injury;
- decrease in the body's defenses (immunodeficiency, chronic diseases, insufficient levels of vitamins and minerals);
- psycho - emotional overload (stress, depression, mental illness);
- allergies (external irritants that provoke an allergic reaction to food, household and cosmetic chemicals, medications);
- the introduction of viral and fungal infections (frequent colds during the changing seasons, hypothermia and overheating, chronic mycotic processes during relapse);
- bites of fleas, lice, bedbugs.
Undoubtedly, all of the above factors, individually or collectively, have their significance. But, with a high degree of certainty, research confirms that Zhiber’s pityriasis rosea has an etiology of viral origin, since in the vast majority of tests taken at the peak of symptoms, traces of subspecies of herpetic viruses were identified.
Doctors have clearly established that Zhiber's pityriasis rosea is not transmitted to humans from animals. And, since the cause is not known, the route of transmission is not entirely clear. Experts recommend to beware of or completely avoid:
- close direct contact with sick people (kisses, hugs, intimate relationships);
- use of personal hygiene items for the affected persons (towels, combs, washcloths, underwear and clothing).
Pityriasis rosea - main symptoms
As with other types of lichen, with pityriasis rosea main distinctive feature is a rash that has its own characteristics. In the photo you can take a good look at the symptoms of pityriasis rosea.
Pityriasis rosea begins with the appearance of a “mother plaque” - one or more single spots of an intense pink hue. They have bright, clear contours, reminiscent of the shape of a medallion. The diameter of the rash ranges from 2 to 5 centimeters.
In the center of the plaque, the skin tone becomes yellowish. The skin is dry and flaky scales form on it. Many people note itching, less often the formation of blisters and a burning sensation. If the patient has a severely weakened immune system, the bubble formations can merge into larger vesicles.
Against the background of deteriorating health, the temperature periodically rises, weakness is noted, in some cases - enlargement of the lymph nodes in the neck and under lower jaw.
The spots spread in the form of small foci. Pityriasis rosea “likes” to be localized along Langer’s lines (invisible body lines located across the muscle fibers). On the body they are usually found in places of natural folds of the skin on the shoulders, sides of the body, back, and hips. The general pattern of plaques vaguely resembles the distribution of spruce branches along the trunk.
The rash renews itself two to three weeks after the first sign appears. At this time, pityriasis rosea is characterized by the presence of both old lesions and newly emerging ones.
The duration of the course is from a month to six months. After this period, the symptoms fade or disappear altogether.
Pityriasis rosea is only carried by acute form and never becomes chronic. A person who has recovered from this disease acquires lifelong immunity to it.
The disease can cause complications. As a rule, these are bubbles with transparent contents (very rare individual feature), the combing of which turns into purulent inflammation, that is, cause the addition of a bacterial infection.
Sometimes pityriasis rosea affects scalp heads. At the same time, it is characterized by:
- the appearance of individual oval spots with clear outlines;
- constant scratching;
- hair loss.
The disease in this manifestation is quite rare. However, its duration (if it occurs) sometimes lasts up to three months.
Pityriasis rosea in women during pregnancy
Expecting a child is a difficult and hectic time for a woman. Adjusting to carrying a baby forces the body to work for two. Hormonal levels give a jolt to the nervous and immune systems. Expectant mothers' metabolism changes and various allergic reactions are possible. At this time, the disease can easily “attack” the pregnant woman’s body.
However, there is no need to worry too much. If you follow the doctor's instructions throughout the course of treatment, as well as follow the rules of personal hygiene, pityriasis rosea will quickly recede.
The main thing is not to grab handfuls of pills and not to succumb to the provocative advice of your girlfriends.
Pityriasis rosea in children
Ringworm “clings” to children, especially those who often suffer from colds and are prone to allergies.
Symptoms of the disease in children:
- weakness and malaise;
- headache and pain in the joints;
- slight increase in temperature;
- itching in places where lesions are localized;
- lack of appetite;
- bad dream;
- enlargement of the submandibular lymph nodes.
Breasts get sick less often. Breast milk provides a good barrier to pathogen penetration.
Kindergarten children (especially during the period of adaptation to the children's group), as well as adolescents (during hormonal changes in difficult transitional ages) get sick much more often.
Rashes in children affect areas where sweat glands are concentrated throughout the body:
- on the side surfaces under the arms and on the back;
- in the groin and abdomen;
- on the top and lower limbs(forearms and thighs);
- less often on the neck and face.
Children usually tolerate pityriasis rosea more easily than adults - the disease most often goes away on its own even without treatment. However, parents will still need to consult a doctor for advice.
When the diagnosis is confirmed, it is prescribed symptomatic treatment to speed up recovery.
Diagnostics
Important! Although Lichen Zhibera does not require complex treatment, it must be treated carefully. It is important to correctly establish the diagnosis and determine an adequate approach to treatment. Don't try to do this yourself! Be sure to consult a doctor: a dermatologist, infectious disease specialist or pediatrician.
In order to obtain a complete picture of the disease, the doctor must:
- Conduct an individual medical examination of the patient (collection of data on the presence of fungal, infectious and chronic diseases, visual assessment of the patient’s condition and palpation if necessary);
- Order the necessary tests:
- General blood test (will help determine the degree of damage to the body by ESR indicators and the number of leukocytes and eosinophils), as well as urine analysis;
- Skin biopsy (if the disease does not subside for more than a month and a half to exclude psoriasis);
- Bacteriological culture(taken from the lesion using scraping at infectious complications);
- Fluorescent diagnostics (a special lamp is used to determine the presence of a fungal infection) in case of suspected fungus;
- If necessary, RPR - test for syphilis.
So that the doctor can assess the situation as accurately as possible, before visiting:
- do not treat the skin with any medications;
- do not use cosmetics;
- don't take medicine.
Drug treatment
Depending on the data obtained as a result of the medical examination, the doctor uses various groups and forms of medications for therapy.
Pityriasis rosea can be treated well with the drugs indicated in the table:
| Groups of medications | Main action | Names/forms of release |
| Vitamins and immunostimulants | Increases the resistance of the body's defenses, improves general state, increase appetite, promote speedy recovery. | Ascorutin, vitamins and mineral complexes, which necessarily contain substances such as vitamin C, B, A, E, PP. |
| Antihistamines (antiallergic) | They relieve the effects of allergens, eliminate itching, swelling, redness in places where scratching, burning, and also reduce the growth of new plaques. | In tablet form: Claritin, Fenistil, Suprastin, Zodak, Tavegil. Use according to instructions. |
| Antiviral | They serve to reduce the development of the rash and prevent the invasion of other viruses (if it is proven that the disease is caused by a viral component). | Acyclovir is prescribed for pityriasis rosea, 1 tablet (200 mg) 5 times a day for five days. Contraindicated for pregnant, nursing mothers and children under one year of age. |
| Antibiotics | Effective at the very beginning of the disease, especially in the first five days (in the subsequent period they will become useless). They are able to completely stop the spread of “medallions”, restoring health to the skin. | The most popular is erythromycin. Take 1 pill four times a day after meals. |
| Corticosteroids and glucocorticoids (hormonal) | Anti-inflammatory, healing and anti-allergic effect. | Pityriasis rosea involves treatment in which ointment is used: Flucinar. Apply a thin layer to the affected areas. The ointment has a lot side effects. Lorinden. During the first 3-4 days, it is distributed into areas 2-3 times a day. In the following days, apply once. Sinalar (emulsion, cream and ointment). Quickly relieves itching and lightens plaques. When used twice during the day, it cleanses the skin of flaking and scales in 2-3 days. The skin regains its normal elasticity. There are contraindications. |
| Preparations based on salicylic acid | The action is aimed at drying, eliminating inflammation and destroying microorganisms (bacteria). Acts as an excellent antiseptic. | and salicylic - zinc paste. Apply morning and evening to all problem areas until completely cured. It should not be used by children of the first year of life. |
| Birch tar (pharmaceutical) | Wound healing, anti-inflammatory and bactericidal effect. | The drug cannot be replaced in combination with sulfur ointment (in the ratio of 1 teaspoon of tar to 1 tablespoon of ointment). In 10 days it will relieve lichen (if applied twice a day). |
Important! If pink rashes appear, try not to take a bath and especially not to rub the plaques with a washcloth. Water and “active” body care will only help the spread of the disease. Occasionally wash your hands with warm water without soap. Dry yourself with a sheet (as if blotting your skin).
Treatment of pityriasis rosea in children
The Demyanovich method is considered the most effective in getting rid of the disease. They are the ones who treat pityriasis rosea (its symptoms) in a child:
- first you need to treat the rash with a 60% solution of sodium hyposulfite (sodium thiosulfate) by rubbing into the lesions for ten to fifteen minutes over the entire body;
- then, after a break of several minutes (when the solution dries and crystals of the medicine appear on the skin), proceed to the second stage. In the same places, pouring onto the palm, rub a 6% solution of hydrochloric acid (three or four times - subject to a break for drying after each rubbing).
After such therapy, the sick person can be washed within three days.
How to treat pityriasis rosea during uncomplicated pregnancy
Treatment should be used with great caution so as not to harm the unborn child. In any case, you should see a doctor and not self-medicate (you need to be especially careful with hormones). Suitable for ladies in an interesting position:
- use of external folk remedies based on herbs;
- moisturizing stains with baby cream with string and chamomile;
- application of lotions with sea buckthorn oil;
- use of antipruritic ointments that are safe for pregnant women.
How to treat pityriasis rosea with folk remedies at home
In most cases, pityriasis rosea can be easily treated at home. From the competent combination of alternative and official medicine, one can achieve one hundred percent recovery. Here is an example of several old folk recipes. They are based on medicinal plants:
- Horsetail. Let's prepare the infusion. Take one heaped teaspoon of dried horsetail herb. Pour horsetail into a jar, pour one liter of boiling water, close the lid and wrap for thirty minutes. Cool the infusion to room temperature and consume three tablespoons three times a day, regardless of age.
- Birch buds. This remedy is used externally to wipe the affected areas and relieve itching. Prepare an infusion from one glass of dry buds and half a liter of boiling water. Wrap the container with the hood in a blanket for three hours. Then strain the liquid and treat the plaques twice a day until the spots disappear completely.
- Calendula. Grind the dried inflorescences purchased at the pharmacy into powder, add at a ratio of one to one with Vaseline. Mix the ointment thoroughly. Spread a thin layer on medallions in the morning and at night.
Diet for pityriasis rosea
To strengthen the immune system, it is absolutely necessary for the sick person to adhere to the rules of a balanced diet:
- try to increase the amount of vegetables in your diet, both raw, stewed or boiled;
- lean on more often dairy products marked bifido- and bio-;
- give preference to lean meat and fish;
- eat fruits (except those that can cause an allergic reaction);
- highly salted, smoked and spicy foods will have to be removed from the diet;
- be careful with flour, confectionery products, chocolate and coffee;
- do not overuse spices;
- Follow the drinking regime: drink at least 1.5 liters of clean water during the day.
Pityriasis rosea or Gibert's disease is an infectious-allergic skin disease that occurs after an infection or hypothermia. Mostly people with low immunity suffer. Characteristic rashes in the form of pink spots on the skin. Approximately 50% of patients experience severe or moderate itching.
Pityriasis rosea is an infectious disease, but it is not transmitted from person to person (although there have been cases when all members of the same family fell ill with pityriasis rosea.) The onset of the disease is associated with the entry of a virus or bacteria into the body, but skin rashes are caused by an allergic reaction of the body to pathogen activity.
The share of Zhiber's disease among other skin diseases is 3-4%. Although the disease is quite common, it remains not fully understood. For example, there is no consensus on which microorganism causes the development of lichen.
Occurs during the cold season, more often in spring and autumn. It is during these periods that the body's immune defense is weakened.
Both men and women are affected equally. The disease occurs more often between the ages of 10 and 35 years. Children under 2 years of age get sick extremely rarely. This may be due to maternal immunity, which is inherited. Pityriasis rosea is common in children adolescence and in pregnant women, which is associated with disruptions in the immune system.
A person can only get pityriasis rosea once in their lifetime. After recovery, the body develops strong immunity.
Gibert's disease is not a dangerous disease and goes away over time even without treatment. However, it significantly spoils the appearance and mood.
Causes of pityriasis rosea
There are several versions of which microorganism causes the disease. According to one theory, this is a herpes virus type 6 and 7. According to another theory, these are streptococcus bacteria. But microorganisms play a role only in the initial stages. They serve as a trigger. Then an allergic reaction begins in the body. It is this that causes the main manifestations of the disease.The disease can be triggered by factors that weaken the immune system.
- Hypothermia
- Stressful situations
- Past infectious diseases
- Digestive disorders
- Insect bites
- Metabolic disorders
- Minor damage skin
The official version of doctors is that pityriasis rosea is not transmitted from person to person. But according to another theory, the disease is carried by bedbugs and lice. At the site of their bite, the first, largest spot appears - the “maternal plaque”. There is an opinion that you can become infected through personal hygiene items: washcloths, combs, towels.
What is Zhiber's pityriasis rosea?
Pink lichen of Zhiber is the second name for pityriasis rosea. Gibert's disease is named after the French dermatologist who described the changes that occur in the body during pityriasis rosea.This disease is of an infectious-allergic nature. Its appearance is associated with a weakening of the body's immune defense. The reasons that cause it are not fully understood.
It manifests itself as a large maternal spot, which can reach 10 cm in diameter. Small screening plaques appear after 7-10 days and are located on the sides of the body in the form of a Christmas tree, on the inner surfaces of the arms and legs.
Symptoms of pityriasis rosea
Both children and adults have the same course of Zhiber's disease.. The first symptoms of pityriasis rosea appear after an infectious disease. The appearance of the first spot is preceded by a deterioration in the condition. Weakness and body aches occur. After this, a “maternal plaque” appears. It differs from other elements of the rash in its large size and more intense color at the edges. Most often it occurs on the torso, in the area of the chest or shoulder blades. Plaque size from 2 cm or more. Pink colour. This is what gave the disease its name. Gradually, in the center of the spot appears yellow plaque, which over time turns into small flaky scales. The edges of the plaque remain clean and smooth. Therefore, some doctors compare the appearance of pityriasis rosea with a medallion.
In 7-10 days secondary elements of the rash appear on the skin of the torso, arms and legs - smaller pink spots. Their size is less than 1 cm, their shape is quite regular, oval. Usually they do not grow in width and do not merge with each other.
In the center of the spots folded areas with scales appear, and a border appears at the edges. Due to the fact that the skin dries out and cracks, a person feels itching. In some cases, small subcutaneous nodules filled with fluid form. With this form, the disease is easier and passes faster.
Secondary rashes often located on Langer's lines. These are the areas where the skin is most stretchable. They are located in the place where bundles of collagen fibers lie.
Especially many spots appear in the groin area, on the inner thighs and forearms. The skin in these areas is soft and rich sweat glands. And these are favorable conditions for pink lichen. The face and skin under the hair on the head remains clean. A rash does not appear on the mucous membranes.
The rash occurs in stages at intervals of 10 days. Before new spots appear on the skin, a person feels a deterioration in their condition: weakness and chills. This is due to intoxication of the body.
On the patient’s skin, you can notice elements of the rash of varying degrees of maturity. Some of them are pink and clean, without scales - they are the freshest. Others are more mature - covered with plaque.
Over time, the spots may disappear on their own. Then darker areas of skin remain in their place. This is due to the accumulation of skin coloring pigment (melanin) on the affected area of the skin. For some, on the contrary, lighter spots remain in place of the plaques. Gradually, the skin color evens out and no trace of the rash remains.
Usually pityriasis rosea goes away on its own when immunity increases. This occurs 4-6 weeks after the appearance of the mother spot. But in patients with weakened immune protection the disease lasts up to 6 months. At the same time, it can either subside or appear with renewed vigor.
Incorrect treatment and non-compliance with hygiene rules can cause the rash to thickly cover the body and join bacterial infection. In this case, suppuration of the skin occurs.
It is dangerous to make a diagnosis yourself based on descriptions and photographs. The disease is quite difficult to distinguish from measles, rubella, secondary syphilis, psoriasis, and especially pityriasis versicolor. Each of these diseases requires special treatment and has quite serious complications. Therefore, it is necessary to contact a qualified dermatologist who will accurately diagnose and prescribe appropriate medications.
What does pityriasis rosea look like (photo)?
The disease begins with the appearance of the first and largest “mother spot”. It is most often located on the stomach or in the area of the shoulder blades. The plaque has a pink or reddish-brown color. This is caused by the expansion of small blood capillaries V top layer skin.
The plaque rises slightly above the skin level, which is caused by the release of fluid through the walls of the capillaries and swelling. This area shrinks and cracks. It feels dry to the touch.
Gradually, starting from the center, the spot becomes covered with thin scales. They are brownish-yellow in color and resemble crumpled tissue paper. This is due to the fact that inflammatory process caused keratinization of the upper layer of skin and its detachment.
Particles of the epidermis peel off from the skin. A space filled with air is formed between them. This is what causes peeling.
After the center is covered with scales, it seems to sink. And the cushion surrounding it on the outside remains raised and bright pink. The lichen area becomes like a medallion, which is characteristic feature Gibert's disease.
Gradually, the center of the spot clears of scales. What is left is smooth, dark pink skin surrounded by a brighter border. Gradually it becomes pale, and the skin color evens out.
How to treat pityriasis rosea?
Today, the treatment of pityriasis rosea causes a lot of controversy among doctors. Some experts believe that the disease goes away on its own when the immune system is restored. Others argue that the body needs to be helped to cope with the disease, otherwise it may drag on for 3-6 months. | Drug name | Mechanism of therapeutic action | How to use | What effect to expect |
| Erythromycin | Antibiotic from the macrolide group. It disrupts the production of proteins in pathogenic microorganisms and prevents their reproduction. In the first days of illness, the antibiotic reduces the number of microorganisms. This leads to a reduction in allergies and rashes throughout the body. | It is most effective in the first days of the disease. After the 5th day of illness it is not prescribed. Take 250-500 mg (1-2 tablets) every 6 hours. | Reduces the number of rashes on the body and speeds up the healing process. Prevents infection and inflammation. |
| Acyclovir | An antiviral drug that fights the herpes pathogen that causes pityriasis rosea and other skin lesions. Interrupts the reproduction of the virus and stops its spread in the body. Stimulates the immune system. | Take 1 tablet orally 5 times a day. It is most effective in the first hours of the disease. | Prevents the spread of the rash throughout the body. The plaques quickly clear from the middle, turn pale and disappear. |
| Ultraviolet irradiation (UVR) | Destroys protein molecules in pathogens. Destroys bacteria and viruses. It is used only in the first 5-7 days after the appearance of the first plaque. In a later period of the disease, it can worsen the condition and increase the number of rashes. | Irradiation is carried out daily in the first few days of illness. | Reduces the number of areas of lichen, speeds up recovery. Prevention of purulent complications. |
| Tavegil | Antihistamine. Interferes with the action of histamine, which is produced in the body and is the cause of all manifestations of allergies in pityriasis rosea. | 1 tablet morning and evening. | Relieves skin itching, reduces the number of new lichen spots. |
| Hydrocortisone | Adrenal cortex hormone. Has an anti-inflammatory effect. Relieves swelling of the skin in the lichen plaque, inhibits the development of allergies. | Apply a thin layer to the affected areas of the skin 2-3 times a day. | Relieves itching and swelling of lichen elements. |
| Tsindol | Zinc-based suspension. Dries the skin, prevents the proliferation of microorganisms and skin inflammation. | Wipe the affected areas 2-3 times a day. | Dries the skin and relieves itching. |
| Activated carbon | Cleanses the body of toxins by absorbing them. | 4 tablets 3 times a day 30 minutes before meals. | Improves general condition. Relieves manifestations of allergies and intoxication. |
There are several other measures that will help you quickly cope with the disease.
- Doctors recommend following a diet that does not cause allergies. It is necessary to avoid spicy, pickled, smoked dishes and products that contain nutritional supplements. Coffee, strong tea and alcohol are also excluded.
- It is advisable to limit washing as much as possible. Water procedures lead to the fact that lichen spots are scattered throughout the body. This is facilitated by the use of soaps and gels that dry the skin. It is especially dangerous to take a steam bath, lie in a hot bath and visit a swimming pool. If necessary, you can take a shower. After washing, it is advisable not to dry yourself with a towel, but to blot your skin with paper towels. You should not use body cosmetics; they can cause allergies and worsen the condition.
- If secondary small rashes appear, then you should not be in the open sun.
- In order to prevent inflammation on the skin, it is necessary to change your underwear daily. It should be made from natural fabrics and allow air to pass through freely. Wearing wool or synthetics causes new areas of lichen to appear. Clothing should not rub or squeeze the skin.
- Sweating causes new lichen spots to appear. Therefore, avoid overheating and physical exertion.
- It is important not to self-medicate. Some medicines containing sulfur and tar cause the rash to spread.
What ointment can be used to treat pityriasis rosea?
| Name of ointment | Mechanism of therapeutic action | How to smear? | What effect should I expect? |
| Salicylic-zinc paste (Lassara paste) | It has antimicrobial, anti-inflammatory and drying effects. Relieves redness, narrows dilated capillaries. | The ointment is applied in a thin layer 1-2 times a day. | Pink spots become almost invisible, the surface becomes equal to the level of healthy skin. |
| Sinalar | Combined remedy, consists of a glucocorticoid hormone and an antibacterial substance. Prevents fluid from escaping through the walls of blood vessels. Relieves itching, swelling and inflammation. | Apply to areas of lichen. Spread a thin layer and rub in easily. | Eliminates itching, makes lichen plaques lighter and softens the skin. |
| Flucinar | Hormonal drug. Has an antiallergic effect, relieves itching. Fights peeling on the surface of areas of lichen. | Apply a thin layer to stains 1-2 times a day. | Clears scaly plaques and evens out skin color. |
| Lorinden A | Combined steroid drug With salicylic acid. Relieves itching, swelling, inflammation and allergies. Reduces peeling on lichen plaques. | The first days apply a thin layer 2-3 times a day. Then 1-2 times a day, but no more than 3 weeks. | Reduces peeling and swelling, makes rashes less noticeable. |
Do not use other means. Their use may worsen the situation and cause new rashes.
What are the traditional methods for treating pityriasis rosea?
As is known, specialized treatment for pityriasis rosea (Giber's disease) does not yet exist. But traditional medicine offers many effective ways fight against this disease. Let's look at the most popular folk methods for treating pityriasis rosea. | Means | Cooking methods | A course of treatment | Effectiveness |
| Apple vinegar | Used in its pure form. | It is necessary to treat the affected areas of the skin 3-4 times a day until complete recovery. | The first results will be noticeable in 5-7 days. Complete disappearance of lichen spots occurs after 1-2 months. |
| Celandine tincture | Fresh leaves and inflorescences of celandine, pour vodka. Let it brew in a tightly closed glass container for 2 weeks. The resulting tincture is diluted with water in a ratio of 1:5 | The solution is taken both internally and externally.
| The product is used both therapeutically and prophylactically. The result comes in 7-10 weeks. |
| Elderberry tincture | Pour boiling water (200 g) over dried elderberry inflorescence (1 tbsp). Let it brew for 30-40 minutes. | Tincture for internal use. Use 3 times a day before meals. Serving – 3 tbsp. Course of treatment: 35-40 days. | Usually 1 course is enough. If necessary, the course can be repeated 2-3 weeks after the first. |
| Attention! With prolonged use of the above products, an allergic reaction is possible. In this case, it is worth suspending treatment for at least 2 weeks. | |||
| Glycerin and talc ointment | Take zinc oxide (2 tbsp), mix with glycerin and talc, add water until a homogeneous viscous mass is obtained. | The ointment is applied to affected areas of the skin twice a day. The course of treatment is until the lichen disappears completely. | Immediately relieves inflammation and reduces itching. Usually the disease goes away completely within 6 weeks. |
| Tar ointment | Mix birch tar with butter in equal proportions. | The ointment is applied to the lichen at night in the form of a compress. Course of treatment – 7-10 days | After 10 days, the lichen usually goes away. In another case, the course of treatment can be repeated. |
| Buckwheat decoction | Take 20 gr. buckwheat and cook it in 400 gr. water. Cool. | The decoction is used to treat the affected areas of the skin three times a day. The course of treatment is 5 weeks. | After 2-3 days the itching disappears. The effect becomes noticeable after a week. |
| Cabbage | Fresh cabbage leaves dipped in sour cream | A cabbage leaf is applied to the areas of the disease for 30 minutes. | Has a powerful antipruritic effect. Relieves irritation. |
| Raw yeast dough | Dough recipe: 200 g milk, 30 g yeast, 800 g flour, 1 egg, 2 tbsp. l. honey, 4 tbsp. oils | The dough is applied to the areas affected by lichen for 2 hours once a day The course of treatment is 5 days. | Very effective remedy on early stages manifestations of the disease. |
| Paper ash | Roll a piece of stationery paper into a little bag and place it on a plate with the peak facing up. Light it and wait until it burns completely. Dilute the resulting ashes with 2-5 drops of alcohol. | The affected areas are smeared with the solution three times a day. The course lasts until the plaques completely disappear. | Used from the first days. The result comes in 3-5 weeks. |
Despite the fact that natural remedies are quite effective, treatment may not always be suitable for you personally. If you notice signs of allergies on your skin or there are more rashes, stop treatment and consult your doctor.
Prevention of pityriasis rosea
To prevent the development of the disease, it is necessary to avoid hypothermia, infections and stressful situations. Support your immune system with protein foods and vitamins. This is especially important in the autumn-winter period. Toughen up and lead an active lifestyle. In this case, you will be able to avoid pink lichen and other, even more dangerous diseases.
Pityriasis rosea in a child. How to treat?
Qualified pediatric dermatologists claim that pityriasis rosea in a child does not require treatment, and the symptoms will disappear on their own when the immune system is restored. It is believed that a nutritious diet rich in protein and vitamins can speed up recovery. The menu must include meat, dairy products, fresh vegetables and fruits. Proper care for a child with pityriasis rosea is the basis of treatment.
- Following a hypoallergenic diet. Temporarily exclude eggs, fish, nuts, honey, sweets (especially chocolate), citrus fruits, pineapples and others Exotic fruits.
- Daily linen change. All clothing should be loose and made from natural fabrics.
- Avoid rubbing or steaming the skin. Temporarily stop wearing diapers.
- Wash your baby with warm water in the shower as needed. Some doctors recommend using Friederm with zinc instead of gel and shampoo during water procedures.
1. Sorbents- absorb
- Elokom - apply once a day in a thin layer only to the affected area. The duration of treatment is determined individually.
- Hydrocortisone ointment – 1-2 times a day in a thin layer for up to 7 days.
- Skin cap – suppresses cell division, thereby reducing plaque and flaking in areas. Treat the lesions with cream or spray 2 times a day. The course of treatment is up to 2 weeks.
- Fukortsin - use a cotton swab dipped in a solution to treat combed lesions of pityriasis rosea 2-3 times a day.
How to treat pityriasis rosea at home?
Treating pityriasis rosea at home is quite simple. It is enough to avoid skin irritation and not consume products that can cause allergies. However, before starting treatment, be sure to consult a doctor. Even if your symptoms fully fit the description of the disease, this does not mean that you can correctly diagnose yourself. There are at least five other diseases that have similar manifestations.If the dermatologist determines that you really have pityriasis rosea, then you need to take the following measures:
Let us recall that each of medicines has a list of contraindications, so only a doctor can prescribe and determine the dosage.
As you know, there are theories about the infectious-allergic and viral nature of the disease. Based on this, attempts are being made to treat pityriasis rosea:
- immunomodulators – Recombinant alpha/gamma interferons, Kagocel;
- antiviral agents - Acyclovir, Geviran;
- antibiotics – Erythromycin, Azimed.
Pityriasis rosea does not impair performance, and sick leave is not given for this diagnosis. You can go to work and simultaneously treat pityriasis rosea at home.
Pityriasis rosea during pregnancy. What to do?
Pityriasis rosea during pregnancy is a fairly common phenomenon. The high incidence, compared to other groups of the population, is associated with hormonal imbalance and a natural decrease in immunity during this period of a woman’s life. The disease itself is not dangerous to the health of the mother and child, and does not threaten the course of pregnancy, however severe itching and the nervous tension associated with it worsen the woman’s condition. In this regard, if pityriasis rosea develops before the 15th week, the risk of miscarriage increases. What should you do if your doctor diagnoses pityriasis rosea during pregnancy?
- Vitamin therapy– vitamins A, C and all representatives of group B. They strengthen the immune system and speed up recovery. Vitamins are taken in the form of vitamin complexes (Pregnavit, Additiva) or separately.
- Calcium gluconate contains calcium salts that improve the condition of the musculoskeletal system of the mother and fetus, having an antiallergic, hyposensitizing effect. Calcium gluconate reduces vascular permeability and cell membranes, which prevents the development of inflammatory and allergic reactions on the skin. Take 1 tablet 3 times a day for 2-3 weeks.
- Phototherapy– irradiation ultraviolet lamp or short-term (15-20 minutes) exposure to the sun. UVR strengthens the immune system, improves skin condition and kills pathogenic bacteria.
- External treatment of pityriasis rosea in pregnant women:
- Oil solution chlorophyllipt – has antimicrobial properties and accelerates regeneration, has a softening effect. Apply the solution to the lesions 1-2 times a day.
- Sea buckthorn, peach, rosehip oils - contain vitamins, flavonoids and fatty acids, which have an anti-inflammatory and regenerating effect, soften the skin, reducing itching. Gauze wipes moistened with oil are applied to the lesions for 10-15 minutes 2 times a day.
- Zinc ointment - reduces inflammation and irritation, forms a barrier that prevents the penetration of bacteria and infection of lesions. Apply 2-4 times a day to affected skin areas.
- Advantan cream is a “hormonal” corticosteroid that reduces itching, burning and other manifestations of pityriasis rosea. Use with caution, only as prescribed by a doctor, once a day, for no more than 4 weeks.
What should you not do for pityriasis rosea?
Dermatologists recognize that it is effective drug treatment There is no treatment that is suitable for all patients. However, if you exclude everything that is not possible with pityriasis rosea, then the manifestations of the disease will disappear in 1-2 weeks.For lichen rosea, it is undesirable to:
Weakened immunity and frequent colds often cause the development of specific diseases. One of these diseases is Gibert's disease or roseola exfoliating.
What is the disease
Zhiber's pityriasis rosea is an inflammatory process, an acute dermatosis of the skin with a specific course and type of rash, prone to spontaneous healing. The disease mainly affects the age group from 20 to 40 years; the appearance of pityriasis rosea in people of other ages is extremely rare.
Its peculiarity is the duration of the course; with or without the use of medications, it will not be possible to cure Zhiber's pink lichen earlier than after 1.5 - 2 months. In addition, the disease is characterized by seasonality: surges are recorded during periods of changing weather conditions, which is why it is also called colds.
The disease begins with the appearance of bright spots on the body, which gradually grow. A very characteristic sign of this particular disease is the appearance of the first, so-called “maternal” plaque, which gives rise to numerous, smaller spots.
Is pityriasis rosea contagious and can it be transmitted by contact? Although the disease is classified as infectious-allergic, it can be said that Gilbert's pityriasis rosea is a non-contagious disease; transmission by contact is almost excluded or occurs in extremely rare cases.
Appearance of the rash
What does pityriasis rosea look like, how to distinguish it from other skin dermatitis and dermatoses? The spots have a characteristic clarity and roundness in shape, the very first spot is quite large in size (from 2 to 5 cm), yellowish-pink in color, with peeling in the center and a dense ridge along the edge of the spot. A week to a week and a half after the appearance of the “maternal” plaque, numerous small rashes appear on the skin, which gradually increase, this period lasts up to 3 weeks.
Over time, the skin in the center of the plaque peels off and turns pale, leaving only a dense cushion, which becomes discolored and fades more slowly. For some time, unevenly colored areas (lighter or darker) may remain at the site of the rash, but then they acquire a normal color.
Reason for appearance
The origin of pityriasis rosea is still being studied, since the causative agents of the disease are not entirely clear. Official medicine adheres to the infectious-allergic version of origin, it is confirmed by a positive reaction to streptococcus. Another common version calls viruses the main causative agent of the disease, citing as justification the increase in incidence during periods of ARVI epidemics. According to another assumption, the cause of pityriasis rosea is herpes viruses.
Colds usually develop against the background of various infectious diseases, decreased immunity caused by the influence of external and internal factors.
Pityriasis rosea, causes:
- nervous shock and constant stress;
- colds of a viral nature;
- foci of chronic inflammatory processes;
- hormonal changes in the body (pregnancy);
- use of medicines;
- hypothermia;
- diseases of the ENT organs;
- vitamin deficiency, anemia;
- allergic reaction.
The disease can appear as a result of any immunity disorder, but is especially often recorded after acute respiratory viral infection, during periods of seasonal epidemics.
Symptoms
The disease is seasonal and cyclical. One of the main diagnostic signs is considered to be the appearance of a “maternal” plaque. It is almost always large and isolated (although there may be exceptions), usually appearing in the chest area. Subsequently, the rash spreads over the torso and limbs, rarely to the face and neck.
To others diagnostic sign The shape of the plaques is considered to be medallion-like, with a dry, flaky center and a dense pink ridge along the periphery. In general, several rules can be formulated according to which the disease develops:
- the obligatory appearance of a “maternal”, more often one, less often several (2 – 3);
- the incubation period between the appearance of the first medallion and the mass rash;
- limited period of flow (from a month to two);
- the disease can heal spontaneously;
- stable immunity is developed against it, rare cases of relapse have been recorded;
- the disease is seasonal.
In some patients, lichen planus is accompanied by the following symptoms:
- itching (optional symptom);
- peeling of the surface of plaques;
- the specific location of the rashes - along Langer's lines (the greatest stretch of the skin), so some sources believe that the rashes resemble the shape of spruce branches;
- general malaise;
- enlarged lymph nodes;
- an increase in temperature to subfebrile.
Sometimes the rash can be combined with utricarial, vesicular or papular elements; it is more difficult to treat pityriasis rosea in humans with this type of rash.
Complications
As a result of improperly selected treatment, sweating, mechanical damage and frequent washing in acute period, bacterial infections may occur with the development of the following complications:
- pyoderma;
- streptococcal impetigo;
- hidradenitis;
- folliculitis and ostiofolliculitis;
- eczema or erythema.
In some cases, atypical cases of the disease are recorded; they are characterized by the absence of a “maternal” medallion, rashes in the face and neck. Another one atypical form- irritated pityriasis rosea, in the form of intensely itchy, target-shaped plaques. The causes of Zhiber's pink lichen of this type are mechanical irritation and friction of inflamed skin.
Varieties
A type of pityriasis rosea is Vidal's pityriasis or neurodermatitis; it differs in the location (groin, neck, knees, genitals) and the appearance of the rash. Plaques look like disc-shaped skin compactions with a dense ridge around them. The peak incidence occurs in spring and autumn, and severe symptoms pityriasis rosea are itching and peeling plaques inside the cushion.
Diagnosis of the disease
Diagnostic methods for confirming the diagnosis include the following:
- physical examination by a dermatologist;
- dermatoscopy;
- biopsy and histological examination to exclude parapsoriasis, methods are prescribed for long-term disease;
- bacterial culture of scrapings in the event of an infectious complication;
- examination of scrapings and fluorescent diagnostics for the presence of pathogenic fungi;
- blood test for Treponema pallidum (syphilis).
When making a diagnosis, it is important to differentiate pityriasis rosea, since appearance rashes may resemble toxicoderma, secondary syphilis, parapsoriasis, guttate psoriasis, erythema multiforme, Lyme disease, mycoses.
Treatment
How and with what to treat pityriasis rosea so that itchy spots disappear as quickly as possible? Usually the disease does not require any special treatment methods, since in most cases it heals on its own. During the acute period, mechanical friction of the rash is not recommended, including during washing - this can cause a concomitant infection.
For severe itching, antihistamines are prescribed; for the skin, ointments with corticosteroids, zinc, salicylic acid, or special mash are prescribed. Application antiviral drugs and physiotherapy (ultraviolet) in the early stages helps to quickly get rid of the clinical manifestations of the disease. In general, treatment of pityriasis rosea in humans is carried out against the background of a hypoallergenic dietary nutrition and consists of the following steps:
- antihistamine therapy;
- antiviral therapy;
- the use of external anti-inflammatory, antipruritic, antiseptics(ointments, talkers).
In some cases it gives good results complex application antibacterial erythromycin, ultraviolet and antiviral agents, as well as ointments for the treatment of pityriasis rosea.
- Erythromycin - the drug belongs to the group of antibacterials, it is prescribed for treatment during the first days, in order to stop the spread of rashes and prevent bacterial complications of the process. Appointment for more late stages inappropriate;
- Acyclovir is a drug that belongs to the group of antiviral drugs. It suppresses the process of viral replication at the cellular level and stimulates the immune system. Some experts believe that complex therapy antiviral and antibacterial agents helps relieve symptoms clinical symptoms diseases and speed up the recovery process;
- Suprastin is an antihistamine that relieves itching, swelling, hyperemia and others. clinical manifestations pityriasis rosea.
There is no specific protocol for treating the disease, since it often goes away on its own and does not require any treatment, except in cases of complications due to bacterial microflora. People can treat it or not, it won't make much difference. To prevent lichen infection, various antiseptic ointments and talkers.
For external use
To localize the number of rashes, relieve inflammation and relieve itching, the following external medications are prescribed:
- Lorinden is a hormonal anti-inflammatory ointment that is prescribed for the treatment of bacterial, viral and fungal skin diseases; it relieves inflammation well, moisturizes excessively dry skin, promotes rapid exfoliation of plaque elements, and relieves redness;
- Flucinar is a hormonal ointment based on a synthetic corticosteroid, used to treat dry skin dermatitis. Hormonal ointments of this type relieve inflammation well, moisturize the skin and have an antiallergic effect;
- Salicylic ointment is prescribed for external use as an antiseptic, exfoliating, anti-inflammatory agent. Ointments with salicylic acid help relieve clinical symptoms, including severe itching, and prevent the addition of a secondary bacterial infection;
- Zinc ointment for lichen is used as an antiseptic, anti-inflammatory, antipruritic agent, which has a drying and wound-healing effect. The use of zinc-containing products helps prevent the addition of a secondary bacterial infection.
The question of how to quickly cure pityriasis rosea is asked by everyone who has characteristic rashes on the skin. Unfortunately, the disease is characterized by a certain period of progression (from a month to two), before this period the symptoms of the disease will not disappear. During this period, you need to try to prevent infection of the plaques and the addition of secondary bacterial flora, so as not to cause complications.
Folk remedies
How to cure pityriasis rosea at home? Before treating pityriasis rosea at home, you need to use the following measures:
- a diet based on the exclusion of hot, smoked, salted, spicy, pickled foods, as well as chocolate, citrus fruits, alcohol and other foods that can cause allergies;
- washing the skin without rubbing with sponges, washcloths, brushes to avoid damage to the inflamed surface;
- temporarily exclude the use of any cosmetic products for the skin; for washing it is recommended to use baby or tar soap, which has bactericidal and anti-inflammatory effects;
- try to wear loose clothing and natural cotton underwear to prevent mechanical irritation and damage to the skin.
- in the last stages, you can speed up the exfoliation of plaques and treatment at home with apple cider vinegar, lubricating the affected areas several times a day (4 – 5);
- throughout the illness, smear the plaques with fresh celandine juice or tincture. The tincture can be prepared as follows: filling a 0.5 liter jar with parts of the plant and filling it with vodka. The tincture will be ready in two weeks; for external use it does not need to be filtered, but it must be diluted 5 times. Treatment of pityriasis rosea at home is carried out by lubricating the plaques with tincture 2 - 3 times a day until they disappear completely.
If the disease is not accompanied by a bacterial infection, but drug therapy was prescribed correctly, pityriasis rosea will go away without consequences for the body. It leaves no scars, blemishes or scars, and no complications. The disease causes more trouble with itching, which can be easily relieved by using zinc or salicylic ointment for pityriasis rosea, and unaesthetic red spots all over the body, which will disappear without a trace over time.
(roseola exfoliates) is an acute dermatological disease characterized by the appearance of pink spots on the skin of the torso and extremities, located along Langer's lines and gradually taking on the appearance of medallions. Typically, the onset of the disease is with the appearance of one maternal plaque on the skin of the body and its completion within 1-1.5 months. Zhiber's pityriasis rosea is diagnosed using dermatoscopy, scraping for pathogenic fungi, fluorescent diagnostics, blood tests for syphilis and biopsy. Treatment consists of eliminating irritating effects on the skin, using antihistamines, corticosteroid ointments and indifferent “talkers”.
General information
Zhiber's pityriasis rosea is part of a group of polyetiological skin diseases, which are united by a single name - “lichen”. This group includes lichen planus, herpes zoster, ringworm and pityriasis versicolor. Typical elements in these diseases are itchy spots, differing in their shape, location, morphological features and nature of the course.
Zhiber's pityriasis rosea is most common among people 20-40 years old. In elderly people and children under 10 years of age, cases of the disease are extremely rare. Zhibert's rosea is typically characterized by a significant increase in the incidence rate in the spring and autumn periods. A similar seasonality is typical for colds, against which pink lichen of Zhiber usually occurs.
Causes of pityriasis rosea of Zhibera
The exact causes and pathogenesis of Zhiber's pityriasis rosea have not yet been determined. The infectious-allergic nature of the disease is assumed, and therefore modern dermatology classifies it as an infectious erythema. Confirms the infectious theory of detection in patients with pink lichen of Gibert positive reaction for intradermal administration of streptococcal vaccine. However, most authors are inclined to the viral genesis of the disease, since its cases most often occur after acute respiratory viral infection. Some researchers claim that Zhiber's pityriasis rosea is caused by herpevirus type 7.
Symptoms of rosea lichen Zhibera
According to various sources, in 50-80% of patients, Zhiber's pityriasis rosea begins with the appearance of one (less often 2-3) maternal plaque on the skin. It is characterized by a bright pink color, a flaky surface and a large size of about 3-5 cm in diameter. After about 7-10 days, multiple rashes in the form of small pink spots, oval or round in shape, are observed on the skin. Their typical localization is the skin of the limbs and torso. Usually the maternal plaque appears on the chest, then the rash spreads to the abdomen, groin area, hips, shoulders, arms, legs and neck. Distinctive feature Zhiber's pityriasis rosea is the location of the rash elements along Langer's lines - conditional lines along which it is possible to achieve maximum skin stretching.
The spots of pityriasis rosea increase in size to 2 cm or more within a few days, but they practically do not merge with each other. Their central part becomes yellowish in color, its stratum corneum begins to peel off with the formation of small scales. At the same time, along the edge of the spot it remains pink color and there is no peeling, which gives the elements of Zhiber's pink lichen the appearance of medallions. The period of appearance of new rashes takes on average 2-3 weeks. The spots then gradually fade and disappear, leaving depigmented areas or hyperpigmentation on the skin. Over time, the skin in these places acquires a normal color.
In half of the patients, Zhiber's pityriasis rosea occurs with mild itching, 25% of patients do not observe any subjective feelings. About a quarter of patients complain of fairly severe itching, which may be due to additional skin irritation or increased neuro-emotional lability of the patient. Sometimes, as the rash progresses, the patient may experience small increases body temperature, general malaise, enlarged submandibular and cervical lymph nodes.
A feature of the course of Zhiber's pink lichen is its clearly limited duration. With or without treatment, recovery occurs within 6-8 weeks. Relapses, as a rule, are not observed. There are clinical variants of Zhiber's pink lichen with a maculo-urticarial or maculopapular rash. They usually last longer.
In rare cases, complications may develop: infection of lesions of Gier's pityriasis rosea with the development of pyoderma, hidradenitis, folliculitis, ostiofolliculitis, streptococcal impetigo or their eczematization with a gradual transition to eczema. Most often, the cause of complications is frequent washing or rubbing of the skin, irrational local therapy, excessive sweating, a tendency to allergic reactions.
Diagnosis of rosea lichen Zhibera
In typical clinical cases For diagnosis, a dermatologist's examination and dermatoscopy are enough to diagnose Zhiber's pink lichen. In cases where the rash of Zhiber rosea persists for more than 6 weeks, a skin biopsy is taken and its histological examination is performed to exclude parapsoriasis. In case of infectious complications, a scraping or discharge is taken from the lesion and cultured.
For differential diagnosis pink lichen Zhiber for pityriasis versicolor, fluorescent diagnostics and examination of skin scrapings for pathogenic fungi are carried out. Manifestations of pityriasis rosea may be similar to secondary syphilis. In such cases, to exclude the latter, an RPR test for syphilis is performed.
Treatment of rosea lichen Zhibera
In most cases, Gibert's pityriasis rosea goes away on its own and may not require treatment. To avoid complications, patients are advised to adhere to a hypoallergenic diet during their illness, limit water procedures, avoid rubbing the skin with a washcloth, avoid using body cosmetics, wear only cotton underwear.
For severe itching, it is prescribed antihistamines internally, corticosteroid and antipruritic ointments externally. Use indifferent water-shaken external agents (zinc oxide). According to some dermatological studies, the use of erythromycin and acyclovir from the first days of the disease has a good effect on Zhiber rosea. This treatment promotes more quick recovery without the development of complications.
