Gibert's pityriasis rosea: Clinical signs and treatment diagnosis

The article was consulted with Specialist Doctor I Le Thi Thu Hang - Dermatologist - Department of Medical Examination & Internal Medicine - Vinmec Hai Phong International General Hospital.

Gilbert's rosacea is a dermatological disease, an acute form of the disease. When infected, the patient's skin appears specific skin lesions. Most of the symptoms of Gilbert's rosacea tend to go away after a while without treatment.

Gilbert's rosacea is a mild inflammatory, acute form of skin lesion. When you have Gilbert's rosacea, the skin will appear red, pink, scaly, with symptoms of itching.
Currently, the disease has not yet determined the cause of Gilbert's pityriasis rosea. Usually during the changing seasons such as spring and autumn, the number of people infected with the disease is higher. Gilbert's rosacea can occur in both adults and children.
Although the disease is quite benign, if it happens to babies and pregnant women, it can leave some complications. The cause has not yet been determined. Doctors often rely on signs and symptoms of skin diseases to diagnose and treat.

The cause of pityriasis rosea is currently unknown. The disease is not easily spread from person to person.
Gilbert's rosacea is painless and can go away without treatment. However, this disease can cause severe itching, affecting daily life. The disease can also recur more than once.

3.1 Clinical manifestations At first appearance, pink patches appear on the skin. The rash is oval, red, scaly, slightly swollen, raised above the skin surface. Common locations are on the abdomen, chest, back, neck, forearm... After 7-14 days, these red patches of skin flake off thinly, sometimes causing itching for the patient. The diameter of the lesions on the skin is about 2-5cm in size. According to research, about 69% of patients with roseola also have symptoms of respiratory infections such as: stuffy nose, sore throat, cough... In addition to the rash, the patient also There may be signs of mild fever, headache, nausea and fatigue... Usually the skin lesions in Gilbert's rosacea go away after about 6 weeks but can last up to 2-3 days. month.
3.2 Subclinical manifestations When going to the doctor, doing tests, the results show:
Histopathology is not specific. There is an infiltrate of inflammatory cells of the dermal papilla. Immunohistochemistry was mainly TCD4-positive cells. Test for fungi negative result Syphilis serology test negative.

Gilbert's rosacea can go away on its own, but if itching occurs frequently and causes discomfort, the patient can take some of the following treatment measures:
4.1 Use soothing creams and moisturizers These moisturizers, lotions, and creams have the ability to moisturize and soothe damaged skin. When the skin is fully moisturized, providing enough water will soothe the skin more, the symptoms of itching and discomfort will tend to subside.
4.2 Using topical steroids Corticosteroid derivatives (Betamethasone and Hydrocortisone) have the potential to help reduce itching, swelling, and inflammation. This medication is used when the skin soothing cream is not effective, it is still itchy. However, when using topical steroids, only apply to the inflamed skin, do not use it for a long time or apply it to a large area of ​​the skin.
4.3 Antihistamines If nighttime itching is interfering with sleep, your doctor may prescribe an antihistamine to reduce allergic reactions. These drugs often cause side effects such as dizziness and drowsiness during the initial use. Therefore, this drug is indicated to limit driving while taking this medicine.
4.4 Antiviral drug Acyclovir Antiviral drug for the patient to use when the test finds the presence of the virus that causes the disease. This group of drugs has the effect of inhibiting and inhibiting the activity of sensitive viruses.