RESUMO
As we continue to work toward a more equitable future of medicine, it is necessary to recognize the needs distinct to pediatric dermatology to decrease health disparities that affect this patient population. Currently, there is very little research investigating the predominate risk factors and management of pityriasis alba in children with skin of color. Herein, we discuss existing literature on pityriasis alba in children with skin of color, as well as the research and educational needs in this area. J Drugs Dermatol. 2023;22(4) doi:10.36849/JDD.7221 Citation: Hyun Choi S, Beer J, Bourgeois J, et al. Pityriasis alba in pediatric patients with skin of color. J Drugs Dermatol. 2023;22(4):417-418. doi:10.36849/JDD.7221.
Assuntos
Pitiríase , Humanos , Criança , Pitiríase/diagnóstico , Pigmentação da Pele , Pele , Fatores de RiscoRESUMO
Dermatology has a very distinctive lexicon. The term pityriasis refers to several dermatologic conditions which all feature scaling of the skin. According to the Merriam-Webster dictionary, the term pityriasis was first used in print in 1684. Although the diseases beginning with the name pityriasis are of diverse causation, they do represent important dermatologic diseases, with some common and others quite rare. It is important for dermatologists to be aware and updated on all pityriasis conditions in dermatology.
Assuntos
Dermatologia , Pitiríase , Humanos , Pitiríase/diagnóstico , PeleRESUMO
BACKGROUND: Pityriasis Alba (PA) is a common skin disorder affecting the children and it has multiple risk factors. OBJECTIVES: To assess the serum levels of trace elements (copper, zinc, and magnesium) and hemoglobin (Hb) level in patients with PA. METHOD: This is a case control study; 110 participants (55 cases and 55 controls) were recruited from pediatric dermatology and family medicine clinics, Cairo university hospitals. Patients were allocated into two groups, PA group (randomly selected male and female children age group (6-16) with PA lesions) and a matched control group. Full history was taken including sociodemographic data, present history of the lesions. Full general and dermatological examination was done. Blood samples were taken to asses iron and trace elements levels. The gained measures were analyzed by (SPSS) program version 22. RESULTS: This study showed that Hb levels, serum ferritin, copper, zinc and magnesium were significantly lower in PA group. There was statistically significant difference between both cases and controls regarding trace elements (copper, zinc, and magnesium) with (p value was 0.000, 0.000 and 0.003) respectively. Zinc deficiency increased the risk by more than 15 folds. Also, there was statistically significant difference between both groups regarding Hb levels and serum ferritin (p value was 0.000). The reduced Hb level increases the risk of PA by more than nine folds (OR 9.6) CONCLUSION: PA is associated with reduced levels of Hb, serum zinc, ferritin, copper and magnesium; sun exposure, skin phototype were found to be important risk factors for PA.
Assuntos
Pitiríase/sangue , Oligoelementos/sangue , Adolescente , Estudos de Casos e Controles , Criança , Egito , Feminino , Humanos , Masculino , Pitiríase/diagnóstico , Fatores de RiscoAssuntos
Antineoplásicos/uso terapêutico , Leucemia Mieloide Aguda/complicações , Pitiríase/diagnóstico , Sangue Fetal/transplante , Proteínas Filagrinas , Humanos , Proteínas de Filamentos Intermediários/análise , Leucemia Mieloide Aguda/terapia , Masculino , Pessoa de Meia-Idade , Pitiríase/etiologia , Pitiríase/patologia , Pitiríase/terapia , Indução de Remissão/métodos , Pele/patologia , Resultado do TratamentoRESUMO
Pityriasis folliculorum has been described as a dry type of rosacea with extensive proliferation of Demodex folliculorum in pilosebaceous follicles of the skin. This skin condition is frequently difficult to manage, with various treatment options showing mixed efficacy. Oral ivermectin, a macrocyclic lactone parasiticide with anti-inflammatory and anti-parasitic effects, is one of the leading treatment modalities for demodicosis. Topical ivermectin has recently been FDA approved as therapy for rosacea. We present the case of a woman with pityriasis folliculorum who showed significant improvement from using topical ivermectin with no adverse events related to treatment.
Assuntos
Antiparasitários/uso terapêutico , Ivermectina/uso terapêutico , Pitiríase/tratamento farmacológico , Administração Cutânea , Adulto , Antiparasitários/administração & dosagem , Diagnóstico Diferencial , Feminino , Humanos , Ivermectina/administração & dosagem , Pitiríase/diagnóstico , Pitiríase/patologiaRESUMO
We report on a 21-year-old woman with a 3-year history of crusts and erosions on her scalp that had appeared after starting treatment with adalimumab due to Crohn's disease. By clinicopathological correlation pityriasis amiantacea with underlying folliculitis decalvans was diagnosed. Topical and systemic antibiotic treatment showed rapid response. The occurrence of pityriasis amiantacea in folliculitis decalvans associated with tumor necrosis factor (TNF)-α inhibitor therapy is remarkable and highlights the ambivalent role of TNF-α in diseases with immunological dysfunctions in combination with infections.
Assuntos
Adalimumab/efeitos adversos , Alopecia/induzido quimicamente , Doença de Crohn/tratamento farmacológico , Foliculite/induzido quimicamente , Pitiríase/induzido quimicamente , Fator de Necrose Tumoral alfa/antagonistas & inibidores , Adalimumab/uso terapêutico , Alopecia/diagnóstico , Diagnóstico Diferencial , Feminino , Foliculite/diagnóstico , Foliculite/patologia , Humanos , Injeções Subcutâneas , Pitiríase/diagnóstico , Pitiríase/patologia , Couro Cabeludo/efeitos dos fármacos , Couro Cabeludo/patologia , Adulto JovemAssuntos
Hipopigmentação/etiologia , Humanos , Inflamação/complicações , Inflamação/diagnóstico , Nevo com Halo/complicações , Nevo com Halo/diagnóstico , Educação de Pacientes como Assunto , Pitiríase/complicações , Pitiríase/diagnóstico , Pitiríase/tratamento farmacológico , Vitiligo/complicações , Vitiligo/diagnóstico , Vitiligo/tratamento farmacológicoAssuntos
Pitiríase/diagnóstico , Pitiríase/tratamento farmacológico , Dermatoses do Couro Cabeludo/diagnóstico , Dermatoses do Couro Cabeludo/tratamento farmacológico , Criança , Clobetasol/uso terapêutico , Feminino , Glucocorticoides/uso terapêutico , Humanos , Ceratolíticos/uso terapêutico , Ácido Salicílico/uso terapêuticoAssuntos
Cetoconazol/administração & dosagem , Pitiríase , Pele/patologia , Administração Tópica , Adulto , Antifúngicos/administração & dosagem , Atrofia , Dorso , Biópsia/métodos , Diagnóstico Diferencial , Feminino , Humanos , Pitiríase/diagnóstico , Pitiríase/tratamento farmacológico , Prognóstico , Resultado do TratamentoRESUMO
Pityriasis amiantacea (PA) is a papulosquamous condition of the scalp,characterized by asbestos - like thick scales attached to the hair shaft. It is thought to represent a reaction pattern to inflammatory skin disorders like psoriasis, seborrhoeic dermatitis, tinea capitis, atopic dermatitis and lichen planus, rather than a distinctive disease. The scaling may be localised or generalised, depending on the underlying condition and its duration.This report highlights the clinical features of pityriasis amiantacea secondary to atopic dermatitis and the differential features of other papulo-squamous scalp disorders such as scalp psoriasis, seborrhoeic dermatitis and lichen planus.Scalp psoriasis and seborrhoeic dermatitis are the commonest causes of PA as well as the closest differentials hence should be excluded in all cases. The longterm sequelae of PA include scalp fibrosis and permanent hair loss hence should be identified and treated promptly. The management modalities of PA will also be discussed.
Assuntos
Pitiríase/diagnóstico , Pitiríase/terapia , Dermatoses do Couro Cabeludo/etiologia , Adolescente , Feminino , Humanos , Pitiríase/etiologia , Dermatoses do Couro Cabeludo/diagnóstico , Dermatoses do Couro Cabeludo/terapiaRESUMO
Pityriasis amiantacea is a rare cutaneous reaction pattern to various underlying inflammatory diseases of the scalp. The clinical findings are very characteristic but often under-recognized. This condition can lead to scarring alopecia, and can be refractory to conservative treatment. It is therefore important to recognize the condition so that appropriate treatment can be initiated promptly.
Assuntos
Pitiríase/diagnóstico , Pitiríase/tratamento farmacológico , Couro Cabeludo , Antibacterianos/uso terapêutico , Cefalexina/uso terapêutico , Clobetasol/uso terapêutico , Diagnóstico Diferencial , Quimioterapia Combinada , Feminino , Glucocorticoides/uso terapêutico , Humanos , Óleo Mineral/uso terapêutico , Ácido Salicílico/uso terapêuticoRESUMO
Pityriasis alba is a skin disease, commonly seen in children and young adults. This case presents the ocular association of this disease in a 10 years old Pakistani male. Ocular features in this case were poliosis, tilted disc, high myopia and chorioretinal degeneration. Tilted discs and high myopia can be coincidental but poliosis and decreased pigment in retinal pigment epithelium are closely related with the hypopigmentation seen in this disease.