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Pityriasis Rosea Case Study

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Pityriasis Rosea Case Study
Background: Pityriasis rosea (PR) is an acute self–limiting papulo-squamous skin disorder commonly observed in otherwise healthy children and young adults.
Objectives: To conduct a one-year review of Pityriasis rosea in Kano, Northwest Nigeria.
Patients and Methods: This was a descriptive cross sectional study that was carried out between June 2010 and May 2011 among out-patients attending three dermatology clinics in Kano, Nigeria.
Results: Out of 1,528 patients seen over the 12 months study period, 56 patients, 23 (%) males and 33(%) females, had LP (male-female ratio, 1:1.4). Pityriasis rosea, therefore, accounted for 3.67% of all dermatology out- patients visit. The patient ages ranged from 6 years to 55 years, most of them were in the age range 11 to 20 years.
The peak month of incidence was in January in which about a quarter (23%) of the patients were seen. Only 5 (8.9%) patients
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Of those with a herald patch, 42 (93%) had only one herald patch, while the remaining 3(7%) had two or more herald patches. The demographical data and clinical characteristics of the patients with PR are given in Table 1.Herald Patch was located on the trunk in 32 (57%) patients. It occurred on the upper limbs in 18 (32%), the lower limbs in 4 (8%) and the neck in 2 (4%) patients. The interval between the herald patch and the appearance of secondary eruptions was within 7 days in 38/56 (69%), and by the 14th day, 54/56 (97%) of the patient had had the eruption. The distribution of secondary eruptions was mainly the trunk, followed by the trunk and extremities. Six (10%) patients had facial involvement. The classic pattern with the rash in the typical Christmas tree pattern along the line of skin cleavage was seen in 39/56 (70%) of our patients. The atypical forms were encountered in relatively small proportions. Localized PR was observed in 5 (9%) patients, inverse in 9 (18%) and unilateral in only 1

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