Pityriasis rosea: how to swim and sunbathe. How pink became a “feminine” color How many times do people get pityriasis rosea?

Zhiber's pityriasis rosea in humans is a dermatological disease that has acute onset and characterized by the appearance of skin rashes. The rash looks like pink spots that originate from the mother's plaque. You can find such names for pityriasis rosea as roseola exfoliating, pityriasis.

The disease is most often diagnosed in people in at a young age from 10 to 40 years. Pityriasis rosea is not common in older people or children under 10 years of age. The peak of cases occurs in autumn and spring, which is explained by an increase in the number of patients with colds, against which Zhiber's lichen most often occurs. There is information that this skin pathology more common in women than in men. Among the total number of skin diseases, pityriasis rosea accounts for up to 4% of cases.

A person who has once had pityriasis rosea should normally develop immunity, however, this does not always happen. Sometimes cases of repeated exacerbation of the disease are recorded, which occurs with a pronounced decrease in the body's defenses.

The vast majority of medical sources indicate that pityriasis rosea does not require any therapy. From the moment of disease manifestation to full recovery a person should take from 2 weeks to 1 month. During this time, the body will cope with the disease on its own, and relapse should not occur. However, cases are recorded when lichen affects an impressive part of a person’s skin and causes him not only psychological, but also physical discomfort. In the most severe cases lichen can haunt the patient for six months. With a similar clinical picture, it is possible to prescribe various medicines designed to alleviate the patient's condition.

Although pityriasis rosea is not transmitted from person to person, it is classified as an infectious-allergic disease, or more precisely, in the group erythema infectiosum. This is due to the fact that this type of lichen occurs against the background of infectious diseases and is an allergic reaction of the skin.

Symptoms of pityriasis rosea

Both in childhood and in adulthood the disease proceeds in the same way, so it can be designated following symptoms pityriasis rosea:

A single large spot appears on the human body, which can reach 10 cm in diameter. Doctors call this spot the maternal spot. Its color varies and can range from pale pink to red. The skin in the affected area becomes dry.

Itching and burning may bother the patient, but only 50% of patients with pityriasis rosea complain about these sensations. However, a quarter of patients indicate severe itching, which is most often associated with other effects on the dermis, or occurs due to increased emotional lability of the patient.

The places where the spot is most often located are: chest, back, neck. The disease most often does not affect the feet, hands, or face.

After a week (maximum 10 days) from the formation of the initial spot, multiple small rashes appear on the body, having an oval or round shape. They are not as large in size as the mother's spot; most often they do not exceed 15 mm in diameter. New spots are clearly visible against the background of unaffected healthy skin.

A distinctive feature of the secondary spots of Zhiber lies in the peculiarities of their location. They tend to form groups that resemble the outline of a Christmas tree. The spots have clear boundaries along the edges and are slightly flaky in the center.

Often secondary rashes are located along Langer's lines. That's what they're called conditional lines on the surface of the skin, which indicate the direction of maximum extensibility of the dermis. Pityriasis rosea selects these places, since it is along their course that bundles of collagen fibers are located.

The rashes do not appear instantly, they appear in stages with an interval of about 10 days. Before the next group of spots appears on the body, a person may experience malaise, weakness, and sometimes chills. This condition is explained by intoxication of the body.

Many adults do not experience any symptoms of the disease at all and pay attention to it only because the spots appear. They can itch only after taking a hot shower, or due to stress.

IN childhood the appearance of spots is often accompanied by an increase in body temperature, headaches, rhinitis, and sore throat.

To date, it has not been established what is the real reason appearance of pityriasis rosea. Also, the pathogen that causes this disease has not been isolated. Some scientists are of the opinion that Zhiber's lichen may be associated with herpetic infection, namely with herpeviruses 6 and 7.

They explain this by saying that before rashes appear on the human body, some patients experience flu-like symptoms. In addition, a seasonal connection with the disease has been established. Its peak occurs in autumn and spring, when there is a drop in temperature, a decrease in immune strength, and an increase in the number of people with colds.

The question of how pityriasis rosea is transmitted also remains open. There is speculation that the disease can be transmitted by airborne droplets. However, there is still no consensus on whether pityriasis rosea is contagious at all. After all, with a strong immune system, the development of the disease does not occur at all, since the body easily copes with it.

Another theory regarding the cause of pityriasis rosea is based on the fact that this disease is an infectious-allergic reaction. Scientists, as confirmation of this version, cite the fact that patients with pityriasis rosea develop positive reaction for intradermal administration of streptococcal vaccine.

Proponents of the third theory point out that pityriasis rosea is only a peculiar reaction of the body to hypothermia. They call lichen Zhiber a skin cold that occurs due to a decrease in immunity.

Finally, the latest theory for the cause of pityriasis rosea considers jar of Hearts, psychological breakdown, severe stress(symptoms and causes of stress).

Why is pityriasis rosea dangerous? Consequences and complications

Pityriasis rosea is not considered a disease dangerous to human health. It rarely contributes to the development of any complications or consequences, and the spots that the disease leaves behind on the skin will disappear after 1-11 weeks. It is extremely rare that the disease can last for six months.

Complications of the disease are recorded in isolated cases, these may include:

Development of pyoderma;

Hidradenitis;

Ostiofolliculitis;

Folliculitis;

Streptococcal impetigo;

The reasons why this or that complication occurs are: friction of skin areas with pityriasis rosea, excessive washing, improperly administered therapy, hyperhidrosis, the presence of an individual predisposition to allergic reactions.

Diagnosis of pityriasis rosea

If the disease has typical course, then to make a diagnosis, only a standard examination in a dermatologist’s office is sufficient. After the examination, the doctor will prescribe a dermatoscopy to confirm the diagnosis.

When skin rashes persist for more than 6 weeks, it is advisable to perform a skin biopsy followed by histological examination. This makes it possible to exclude parapsoriasis.

If they join infectious complications, then the doctor will direct the patient to submit a skin scraping from the source of inflammation, followed by bacterial culture.

To make sure that pityriasis versicolor is not hidden behind the symptoms of pityriasis rosea, it is possible to perform fluorescent diagnostics and scrape the skin to detect fungi in it. The RPR test for syphilis is performed to exclude secondary syphilis.

Answers to popular questions:

How long do people suffer from pityriasis rosea? The disease can last from 1 week to 1 month. In isolated cases, pityriasis rosea can bother a person for more than 5 months.

Could I get pityriasis rosea again in the future? Recurrence of pityriasis rosea is possible, however, this is quite rare. In most cases, the human body develops a strong immunity to the disease.

Is it possible to get infected with pityriasis rosea from domestic or stray animals (cats, dogs, etc.)? The only pet that can get pityriasis rosea is a pig. However, infection from this animal, like from any other, is impossible.

Is it necessary to smear the stains with something? pityriasis rosea? Often, having contracted pityriasis rosea, people seek to speed up recovery by applying to the spots various ointments and compounds (for example, boric or acetic acid, iodine, zinc or sulfur ointment, antimycotic ointments, sea ​​buckthorn oil etc.). However, there is not one scientific proof that these products are in any way capable of influencing the recovery of the skin from the disease.

Can it be transmitted from person to person or through sexual contact? Official medicine claims that pityriasis rosea is not a contagious disease and its transmission from person to person or through sexual contact is impossible. However, science knows cases when the whole family fell ill with Zhiber at the same time. If pityriasis rosea develops in a child, then this is not a contraindication for him to attend an educational institution.

Is it possible to sunbathe or relax at the seaside if I get pityriasis rosea? Sunbathe and relax on sea ​​resorts It is possible, but you need to try not to get sunburned during this time. The fact is that burns from ultraviolet rays capable of strengthening itchy skin. In addition, it is always worth remembering that excessive sun exposure increases the risk of developing skin cancer. (read also: Stages, symptoms, signs and treatment of skin cancer)

Can I take a shower/bath if I have pityriasis rosea? You can take a bath or shower without any worries. However, if the patient is bothered by itching, then too hot water should be avoided.

First of all, it is important to remember that the skin should not be overdried and once again irritate.

Therefore, under no circumstances should you apply products such as:

Any ointments or other compositions containing sulfur;

Salicylic acid;

Treatment of pityriasis rosea in humans may not be carried out at all, because in the vast majority of cases the disease goes away without any external intervention.

However, to minimize the risk of developing any complications, you can adhere to the following recommendations:

Do not wash affected areas of skin under hot water. Do not steam your skin. Some experts do not recommend taking a bath, as they believe that a rash after such water procedures spreads faster. While taking a shower, do not rub the affected areas of the body with sponges or washcloths. It is better to stop using soap. The skin should not be rubbed with a towel; just blot away excess moisture.

Excessive exposure to ultraviolet rays on affected areas can worsen the patient's condition. When, on the contrary, the condition of the skin improves when exposed to the sun, it makes sense to reconsider the diagnosis. Most likely, the person is faced with pityriasis versicolor.

The underwear worn by a sick person should not be made of synthetic fabrics. Such materials have a negative impact on the condition of the skin.

It is important to avoid leaving the skin for too long sweat secretion. This will avoid unnecessary itching and prevent the disease from progressing. Therefore, it is necessary to refrain from overheating the body, from playing sports, from physical overexertion from excessive physical exertion.

The diet should not allow allergenic products, since there is a theory regarding the allergenic nature of the origin of the disease. You should stop drinking alcohol-containing drinks, as they increase any inflammation processes.

If the patient is plagued by severe itching, you can consult a doctor about taking antihistamines. This could be Suprastin, Claritin, Cetrin, Zodak, Zirtec. These drugs do not affect the healing process, but help relieve itching.

Ointments deserve special attention, which many people decide to use on their own to speed up recovery. You should not use means that can have irritant effect on the skin, you should not use ointments containing corticosteroid hormones. Similar drugs are prescribed exclusively by a doctor.

Undoubtedly, hormonal ointments give a quick effect in eliminating the manifestations of the disease. However, they have Negative influence on the body as a whole, provoke the development of addiction, and promote atrophy of the skin. In addition, the risk of relapse of the disease increases, and the number of allergic reactions increases.

For pityriasis rosea, you can use the following remedies:

Soften the skin with sea buckthorn, rosehip, peach oils, using milk thistle and St. John's wort oil. This does not affect the speed of recovery, but helps eliminate itching and dry skin.

To avoid infection, you can apply the following antiseptics to the skin: Romazulan ointment, Chlorphyllipt, Sangviritrin.

Lassara paste can be used to smooth the surface of stains. It has an antimicrobial and anti-inflammatory effect.

There are several dermatological studies that indicate the presence positive effect from taking Erythromycin and Acyclovir, if treatment begins in the first days from the onset of the disease.

Concerning preventive measures, then it is worth strengthening by everyone possible ways immune system, avoid hypothermia, infectious diseases, foods that contribute to the development of allergies should not be included in food.

Contents:

What are the symptoms and signs of pityriasis rosea? How does it start?

Most often, pityriasis rosea develops as follows: first, the first spot appears on the back, chest, abdomen, or other area of ​​the body. After a few days, similar spots, but smaller in size, appear next to him. Over the next weeks and months, new spots may appear on other parts of the body.

IN medical literature The first patch of pityriasis rosea is called the “maternal plaque.”

In some people, the maternal plaque does not form and all the spots appear at the same time.

Sometimes, a few days before the appearance of pityriasis rosea, a person may feel mild symptoms colds: fatigue, muscle pain, fever.

What do the spots of pityriasis rosea look like?

Pityriasis rosea patches usually have a well-defined red outline and are covered with a very thin, shiny, dry “film” or scales. Their sizes can vary from a few millimeters to 2-5 cm in diameter.

Pityriasis rosea can be itchy and sometimes the itching can be severe.

How long do people suffer from pityriasis rosea?

For most people, pityriasis rosea lasts from 2 to 12 weeks.

In rare cases, it can last 5 months or more.

Could I get pityriasis rosea again in the future?

Most people who have had pityriasis rosea never have the disease again.

However, in rare cases, some time after recovery, a person may get pityriasis rosea again.

What causes pityriasis rosea?

The causes of pityriasis rosea are currently unknown.

Some experts believe that it may be related to viral infection, however, the virus that could cause this disease has not yet been identified.

Is it possible to get infected with pityriasis rosea from domestic or stray animals (cats, dogs, etc.)?

Among domestic animals, only pigs can get pityriasis rosea, but in these animals it is not contagious and is not transmitted to people (unlike ringworm).

Could the appearance of pityriasis rosea be associated with decreased immunity?

Although pityriasis rosea is indeed somewhat more common in people with immunocompromised The category of patients with immunodeficiency (weakened immunity) includes:
people who are infected with HIV or have AIDS,
people who have diabetes,
people who have cancer and are receiving treatment for cancer (chemo-, radiotherapy),
people who are being treated with glucocorticoids or other drugs that reduce activity immune system(for example, Methotrexate, Azathioprine, Mercaptopurine, etc.),
people who have had a transplant internal organs and take medications to suppress transplant rejection,
people who are sick chronic diseases internal organs: chronic renal failure, chronic hepatitis, cirrhosis, heart failure., most people who get this disease do not have any problems with immunity.

Could pityriasis rosea be associated with medications?

In some rare cases, taking lamotrigine, nortriptyline, clozapine, , captopril (and other ACE inhibitors), anti-rheumatic drugs, lithium, imatinib or and some other medications can cause spots that look very similar to pityriasis rosea.

Can pityriasis rosea appear in newborns or infants?

As we said above, pityriasis rosea is extremely rare in newborns or infants.

So if your baby's skin has a rash that "looks like pityriasis rosea", it is most likely caused by some other disease, such as , , .

How can a person become infected with pityriasis rosea? Can it be transmitted from person to person or through sexual contact?

Although pityriasis rosea sometimes occurs in several people living nearby at the same time, it is not considered a contagious disease.

In this regard, you can safely care for a person who has contracted pityriasis rosea and you do not have to worry about infecting friends, relatives or colleagues if you yourself have contracted it.

Children with pityriasis rosea can attend kindergarten or school.

Should I see a doctor if I think I have pityriasis rosea?

If you have symptoms similar to pityriasis rosea, you will the right decision consult a dermatologist.

After examining you, your doctor will be able to rule out other diseases similar to pityriasis rosea, for example, pityriasis versicolor, psoriasis.

Be sure to consult a doctor if your “symptoms of pityriasis rosea” do not go away within three months.

What can a doctor do to clarify the diagnosis?

To clarify the diagnosis, a dermatologist usually just needs to examine the spots on the skin and ask about how they appeared.

What treatment is needed for pityriasis rosea? Does it need to be treated at all? What can you do to prevent your skin from itching?

As we said above, pityriasis rosea does not pose a health hazard, does not cause complications and goes away on its own within a few months. Due to this, dermatologists usually recommend that people do not undertake any special treatment.
To help soothe the itching, your doctor may recommend that you regularly apply a moisturizing cream to the pityriasis rosea patches (see. How to properly use skin softening and moisturizing products).

If pityriasis rosea is very itchy, be sure to tell your doctor about it. He can advise you to take antihistamines(for example, suprastin).

Pityriasis rosea is a disease that appears seasonally. It has certain symptoms, but each person manifests itself differently, and, therefore, an individual approach to treatment is required. If suspicious pinkish spots form on the skin, which over time begin to peel and itch, you need to pay attention to them. Perhaps this is the beginning of the development of the disease.

Causes and symptoms of pityriasis rosea. Treatment

Pityriasis rosea or Zhiber's disease is an acute lesion of the skin of an inflammatory nature, which has a unique course, location and characteristic appearance, capable of spontaneous healing. Often manifests itself when the immune system is weakened (transferred colds). IN international classification diseases (ICD 10) has code L42. It's infectious dermatological disease occurs predominantly in women aged 20 to 40 years and children over 2 years of age.

There are several assumptions about the etiology of this disease:

• The most common opinion is that the causative agents are bacterial infections. In particular, these are streptococcal and staphylococcal infections which may occur with exacerbation allergic reaction;
• some experts claim that psychosomatics takes an active part in the appearance of pityriasis rosea on the skin: stress, anxiety, depression and other emotional disorders;
• according to other sources, roseola exfoliates occurs under the influence of herpes virus type six or seven ( virus theory occurrence of the disease). There is an assumption that the herpes virus, entering the human body, causes an allergic reaction, manifested in the form of symptoms of pityriasis rosea;
• favor the development of the disease, skin damage, bites of blood-sucking insects, hypovitaminosis, chronic pathologies, allergies.

At the onset of the disease, the general condition of the body worsens: lack of appetite, sleep disturbance, slight increase temperature. There may be an increase in the size of individual lymph nodes. Then a pink itchy spot appears on the body large sizes. Inside this spot is covered with small scales, outside it is clearly defined. This spot most often appears on the chest or shoulder. Later, spots appear (almost never on the face), neck, stomach, legs, arms, groin and even on the genitals. The disease lasts from 1 to 6 months. During this time, the plaques change their shade, the intensity of peeling and itching of the skin changes.

Based on numerous reviews on the Internet, one can understand that pityriasis rosea causes a lot of inconvenience, both cosmetic and psychological.

Pityriasis rosea, symptoms

Depending on how the manifestations of lichen look, you can determine what period of the disease a person is experiencing:

1. In the initial period, one large spot appears, increasing in size (maternal plaque). The number of maternal plaques at the initial stage of the disease is 2–3 pieces. The formation is bright pink, clearly outlined along the edge with a red border. Its diameter is 4-5 cm, sometimes it reaches 9 cm. The inside of the spot is pale pink, peels off, causes itching and tingling. All this is accompanied by chills, weakness, headaches, and enlarged cervical and submandibular lymph nodes.
2. During the period of intense rash, which occurs approximately a week after the appearance of the maternal plaque, the appearance of large quantity“medallions” of daughter spots. These are small oval spots (up to 3 cm) of pink color, inside of which you can also see peeling. At this time the person continues to experience severe itching. With an allergic reaction of the body, all these symptoms intensify, thereby causing physical and aesthetic inconvenience, causing a stressful state. This period lasts several weeks.
3. During the recovery period, the flaky areas inside the rash elements crack and form scales. The affected skin turns yellow, and after the scales fall off, it becomes brown. Pityriasis rosea may disappear on its own without treatment. medicines. Sometimes you can observe atypical manifestations of this disease: a vesicular or lumpy rash.

Important! Gibert's disease rarely appears on the head, especially on the face, and never occurs on the feet or hands.

Causes of pityriasis rosea

The specific cause of this disease is still unknown. But it has been scientifically proven that pityriasis rosea feels great against the background reduced immunity. Facts that answer the question: “Where does this disease come from?”:

• Presence of diseases of chronic etiology;
• Hypothermia (or overheating) of the body;
• Overwork, stress;
• Eating disorders;
• It happens that the impetus for the development of the disease is the use of heavy physical labor at work. As a result, spots of Zhiber's disease appear.
• Recently past illnesses(flu, sore throat, ARVI)
• Long-term use of corticosteroids and other medications;
• Allergic predisposition, inherited;
• Skin damage, including insect bites.

There are complications of this disease:

1. Plaques appear not only on the skin, but also on the mucous membranes and on the nail plates of the hands.
2. The chronic form of Gibert's disease is one of the complications of the disease, in which the itching becomes stronger, and in the affected areas the skin becomes thicker and denser. In this form, lichen is the most difficult to treat; a detailed examination is required to prescribe adequate treatment.
3. rashes appear on the head, under the hairline.

Diagnosis of Giber's disease

The correct diagnosis can only be made by a dermatologist during examination of the patient, as well as after a detailed examination.

What can pityriasis rosea be confused with:

• with pititriasis. With it, the scales on the spots are not dry, but wet, sticky, the spots have depressions in the middle, which is not typical for pityriasis rosea;
• with pityriasis versicolor and herpes zoster. Pityriasis versicolor is caused by fungi, and shingles occurs as a result of exposure to a virus on the human body chickenpox with decreased immunity;
• HIV is accompanied by similar skin rashes;
• eczematous manifestations;
• With allergic rash at hypersensitivity to medications;
• It is important to know how to distinguish it from psoriasis. A blood test will help with this (in case of lichen, it decreases total T cells), histological examination;
• do not forget about syphilis, in which plaques similar in appearance appear (secondary syphilis);
• fungal dermatomycosis.

To exclude all of the above, material is taken for research and serological diagnostics(RW). Some controversial issues can be resolved using a Wood's lamp.

Therefore, the most correct solution if red itchy spots occur is to go to a dermatologist. Otherwise, the disease may develop into chronic stage illness, which will make it much more difficult to cure it.

Pityriasis rosea, treatment

Pityriasis rosea in humans is not considered dangerous disease. Usually the disease goes away on its own and the question is: “How to treat the disease?” does not arise. To avoid complications, it is recommended to observe during the period of rashes hypoallergenic diet, do not rub the affected skin with a washcloth, do not try to excessively wet the stains, do not use body cosmetics, wear cotton underwear.

In order to understand how to treat this disease, it is necessary to remember its main manifestation – itching. To remove this most unpleasant symptom must be taken orally antihistamines(for allergies), lubricate plaques with antipruritic and corticosteroid ointments. If an inflammatory process is observed in the affected areas, it is necessary to use antibiotics, the skin is lubricated with indifferent water-based shaken products.

To say exactly how to quickly cure lichen, it is impossible not to mention iodine, which is recommended to treat plaques 2 times a day. Studies make it clear that such therapy is more effective, together with the use of acyclovir and erythromycin in the first days. Thus, you can see that there are many treatment methods. Correct treatment Only a doctor can choose.

1. Use only the shower; it’s better to forget about the bath until all the rashes go away.
2. Use gentle detergents.
3. Limit sun exposure.
4. Do not wear synthetic or woolen underwear.
5. Limit your skin from exposure to sweat.
6. Follow a diet.
7. Use only those medications prescribed by a dermatologist.

Pityriasis rosea. Treatment at home

You can treat pityriasis rosea at home, folk remedies, but for safety and the right choice It is still better to consult a dermatologist.

There are many treatment methods. Here are some of them:

1. Apply apple cider vinegar to rashes. It will speed up healing and quickly relieve itching and pain.
2. Apply warm newspaper ashes to the lichen. This method will be effective on early stage skin lesions.
3. Apply to plaques Birch tar, which can be mixed with butter.
4. Rosehip oil, Burr oil, sea buckthorn - are also effective in the treatment of pityriasis rosea.
5. Apply a thin layer of sour cream or cottage cheese onto a cabbage leaf and apply to sore spots.
6. Apply a mixture of beets and honey to areas of skin affected by plaques.
7. Black elderberry drink is used as complex remedy. To do this, you need to brew dried elderberry flowers and take the infusion 3-5 times a day, 2 tablespoons. This remedy strengthens the immune system very well.
8. Prepare celandine tincture: mix equal parts alcohol and dry celandine herb, leave for 14 days in a dark place in a closed glass container.

Remedy for pityriasis rosea

To spend effective treatment, drugs that dermatologists often use:

• Salicylic ointment is an antiseptic, antimicrobial, anti-inflammatory, drying medicine. It is recommended to apply 2 times a day to affected areas of the skin. Can be used until recovery. This ointment is contraindicated for children under 1 year of age.

Salicylic-zinc paste is similar in use.

• Flucinar 0.025% is a synthetic glucocorticoid (ointment or gel). Anti-inflammatory, antihistamine. Quickly eliminates irritation and itching. Apply to the plaques carefully and rub in gently. This remedy has many contraindications. Therefore, it is recommended to read the instructions;
• Lorinden ointment is an excellent antifungal, anti-inflammatory, antibacterial agent. Apply to the affected skin first 2-3 times a day, then 1 time. It can also be used on a bandage, the main thing is that there is access to oxygen to the lesions. This ointment should not be used for more than two weeks, and it is also contraindicated for children under 10 years of age. It is not recommended to apply Lorinden to the face, use it for acne, or for viral diseases;
• Sinalar. The drug can be in the form of a cream, ointment, emulsion (mash). This drug consists of an antibiotic and a glucocorticoid. It is recommended to lubricate morning and evening;
• Anesthetic and desensitizing talkers (with menthol);
• Birch tar has a bactericidal and wound-healing effect. 5 ml of ointment is mixed with 25 g of base (oil) and applied twice a day for 10 days;
• Acyclovir tablets are used for viral rashes;
• Antibiotics - erythromycin, terramycin, tetracycline, biomycin and others, prescribed in the first days in order to stop further growth of plaques and shorten the cycle of the disease. It is recommended to drink for an average of 5 days;
• Antihistamines - can relieve itching, swelling, inflammation, soothe and reduce the number of spots;
• Iodine - according to some experts - the strongest antiseptic, widely used in the treatment of pityriasis rosea. An exception is an allergic reaction to iodine. But there is another belief that in in this case– iodine acts as an unnecessary irritant, aggravating the situation.

The question naturally arises: “Is it possible to smear pityriasis rosea with brilliant green?” Doctors do not have a consensus on this question. The solution does not penetrate deep into the skin, but is very effective on the surface. Some people think that you shouldn’t treat the affected areas with antiseptics at all, others say it’s very good to burn the lichen with brilliant green viral etiology, especially in children.

Diet for pityriasis rosea

• Any products made from milk: butter, kefir, cream;
• Green vegetables, parsley, dill, celery, lettuce and other greens;
• Foods high in iron (food for children, bread, confectionery;
• Mineral water.

For lichen rosea it is prohibited:

• hot spices (pepper, mustard);
• alcohol;
• salted, canned vegetables;
• limit the intake of foods containing purines: meat broths, sauces, veal, meat of young pigs, as well as broths from fish, mushrooms, chicken, jellies, smoked meats, offal dishes, fish, salty, sharp cheeses, eggs, nuts, citrus fruits;
• you should not drink strong tea, coffee, cocoa in large quantities;
• do not eat animal or cooking fats;
• pastries, cakes, chocolate;
• legumes (lentils, peas, beans, beans);
• products with a high content of preservatives (juices, canned food, carbonated water).

How does pityriasis rosea go away?

There is an opinion that Zhiber's disease is not dangerous and does not need to be treated. But, given the fact that the rashes are cyclical, the process can take up to six months, and the spots appear on the face, neck, and itch, this prospect is not inspiring. If you treat what is happening wisely and carry out timely therapy, then in a couple of months you can get rid of this unpleasant disease forever (to this, a strong immunity is developed).

The latent development of the disease occurs in incubation period, which lasts from 2 to 20 days, at the end of this period spots already appear, the number of which increases during the course of the disease. Older spots change bright color to brownish shades, the middle turns yellow, fresh spots turn pink again... and this happens for 6-8 weeks. Thanks to modern means, you can reduce the itching, flaking and discomfort caused by them in order to survive this unpleasant period.

Consequences of pityriasis rosea

Complications after pityriasis rosea also exist, although perhaps not as dangerous as from or ringworm.

The main complication here is the strongest unbearable itching, in which the skin does not stop peeling.

As a consequence, another complication arises: when scratching plaques, they may become infected with pathogenic microflora and enlarge the lymph nodes. Possibly with improper treatment, development of eczema, pyoderma, various types of folliculitis.

Pityriasis rosea during pregnancy

Gibert's disease is a very common occurrence during pregnancy, since the immune system expectant mother experiences enormous stress. This disease has absolutely no effect on either the fetus in the womb or the newborn child. breastfeeding. But consultation with a dermatologist and appropriate therapy are still required. In this case, the pregnant woman is recommended to wear clothes made from natural fabrics and to observe personal hygiene rules more carefully.

Is pityriasis rosea contagious?

It has been proven that the virus disease-causing Zhibera, is transmitted from person to person by airborne droplets, contact and by everyday means. But if the immune system is in order, then the person will not get this disease. Theoretically, the answer to this question is yes. Practically, it is unlikely.

Why is it dangerous?

It is not the disease itself that is dangerous, but its possible complications- eczema, streptoderma, various atypical reactions of the body.

How can you get infected?

A healthy person living in the same room with an infected lichen rosea will never become infected. A person with reduced immunity can contract this disease through completely accidental contact.

Is it possible to wash with pityriasis rosea?

With this disease, you can wash, the main thing is not to take a bath, so as not to spread plaques throughout the body. It is useful to take a shower, as sweat also increases the irritation and itching of the plaques. You should not use washcloths or scrubs while bathing; you should use a very gentle detergent.

We invite you to watch a video about the treatment of pityriasis rosea from specialists:

There is a list of diseases whose etiology has not yet been studied. One of them is Zhiber's lichen. Official medicine does not yet know what triggers stimulate the appearance of a rash on a person’s skin. It is believed that the basis of the pathology lies weak immunity. The pathogen comes from outside, but only those whose bodies are unable to withstand external adverse influences get sick.

The disease begins with the appearance of a single maternal plaque on a person's neck, chest or back. It is large (5 cm in diameter) and has a round shape. Gibert's disease is easily diagnosed. The edges of the plaque are bright pink, rising above the dermis. The skin at the site of the rash first brightens and becomes covered with yellowish-gray scales. The plaque “blooms”, and then this process dies out. A week later, smaller rashes (1.5 cm in diameter) appear around the formation. This picture is observed over the course of 3-4 months: some plaques disappear, others appear. Cyclicality – characteristic symptom diseases.

How can you get lichen

Doctors do not yet know the causes of pityriasis rosea. It is difficult to say for sure whether it is transmitted from person to person, or whether animals become the source of infection. So far, it has not been possible to identify the causative agent of the disease. Scrapings from affected areas of the skin and examination of materials under a microscope make it possible to put forward several versions of the origin of the pathology.

Is it possible to get infected from a person?

Some scientists believe that the causative agent of lichen Zhiber is the herpes virus (types 6 and 7). This version is supported by the mechanisms of the disease: a characteristic allergic skin reaction occurs only against the background of decreased immunity. To confirm the viral etiology, patients were given a streptococcal vaccine. The test results showed that an allergic reaction had developed. This means that herpes was present in the patients’ bodies. If Zhiber's pityriasis rosea has viral nature, then it is transmitted from person to person by contact, airborne droplets and sexual contact.

Even one handshake is enough for a person with a weakened immune system to experience the symptoms described above. It is believed that infection can be transmitted through the patient’s personal belongings (towel, hat, clothing). IN medical practice There are known cases of the spread of pathology among members of the same family. This fact proves that living together can also be dangerous.

Is it possible to get infected from animals?

Other doctors tend to believe that the allergic reaction described is bacterial or infectious in nature. This theory is supported by the fact that Zhiber's disease in most cases occurs as a complication after chronic colds. They reduce immunity, causing the growth of pathogenic flora.

The rash described is a skin reaction to toxins secreted pathogenic microorganisms. This version is supported by the fact that treatment with fungal drugs and antibiotics in some patients leads to noticeable results. But statistics do not allow us to make this version the main one. During the study similar treatment was prescribed to 186 patients, and only 30 of them yielded results.

Source bacterial infection Not only people can become. This means that you can get infected from a cat, dog and other pets. However, the assumption has not yet found scientific confirmation. By this time, it was clinically proven that animals are carriers of ringworm. The routes of transmission of the disease described in this article have not yet been established.

Note! You can only get sick once. Anyone who endures the entire “blooming” cycle of pityriasis rosea and waits for self-healing will gain lifelong immunity to prevent re-infection. And this fact indirectly indicates the discrepancy between the reality of the first two versions.

Other transmission routes

According to the third hypothesis, people who have a hereditary predisposition to allergies are at risk. Both external and internal stimuli can provoke its appearance (for example, long-term use medications, consumption of certain foods). In this case, the sick person is not contagious to others.

One way or another, bye official medicine came to one conclusion. It is believed that the only way to prevent infection is to prevent a decrease in immunity and adherence to preventive measures.

Disease prevention

There is a whole set of rules that doctors recommend adhering to for those who are exposed to stress and lead an unhealthy lifestyle. Important:

• Plan your daily diet in such a way that it includes protein products, cereal crops, fresh vegetables and fruits. The menu should be balanced. To avoid getting sick, you should limit your consumption of sweet and confectionery, smoked delicacies, canned foods and semi-finished products. For people prone to allergic reactions, experts recommend taking as a basis daily diet hypoallergenic menu.
• Try to limit contact with sick people.
• Give up bad habits.
• To live an active lifestyle.
• Give preference to clothes made from natural fabrics.
• Buy only high-quality cosmetics from famous manufacturers. Having the main manifestations of the disease in the clinic, refuse cosmetics.

Prevention of the disease involves the use of measures aimed at strengthening the immune system. It is useful to move more, go for walks fresh air, exercise, harden up. During periods of exacerbation of Gibert's disease (winter-spring), it is advisable to take vitamin complexes. Whatever the reasons for the development of an allergic reaction, it is important to treat infectious diseases in a timely manner.

If infection cannot be avoided, you should consult a dermatologist for additional advice.

Some time passes after suffering from the flu, a cold as a result of severe hypothermia, severe stress, and you are surprised and frightened to discover on your body a bright pink spot about 3-5 cm in diameter, oval or round in shape, slightly protruding above the surface of the skin. At first, this is a single spot, which sometimes does not increase in size and, frankly speaking, especially discomfort does not cause, apart from, of course, the very fact of its existence. Therefore, most of us simply shrug it off and reassure ourselves: “Oh, nonsense! If you’ve been bitten by something, rubbed against something, or have an allergy to medication, it will go away on its own!”

However, after taking a bath, using a “miracle remedy” recommended by a friend who knows everything in the world, or simply over time, secondary rashes begin to appear around the first spot, gradually covering an increasingly larger surface of the body. Now it’s not only your appearance: weakness overcomes, there is a slight increase in body temperature in the range of 37.0-37.2 C, sometimes a headache and, most importantly, itching appears in the area of ​​the rash, especially at night. And you finally decide to visit a dermatologist.

After examination, taking skin scrapings, referral to general analysis blood and urine, the doctor summarizes the results obtained and, with a smart look, surprises you with the news: “You have Gibert's disease or pityriasis rosea!»

Of course, the word “” does not in any way evoke positive emotions. And in combination with a prescription written out by a doctor, which forlornly lists an antiallergic drug in tablets and several ointments “to choose from,” a combined composition with the obligatory presence of corticosteroids, does not add optimism. And you begin to persistently search for information about this disease on the Internet, ask acquaintances and friends.

I’ll say right away that it’s not possible to put everything into pieces and get comprehensive information about the nature of the disease, the causes of its occurrence and methods of treatment. Today, doctors who have learned to diagnose based on the totality of facts do not really know this. pityriasis rosea, and can appoint strictly symptomatic treatment to make the patient feel better and speed up the healing process. It is known for certain that severe stress can become a “detonator” and provoke the development pityriasis rosea, however, it has not yet been possible to isolate the causative agent of the disease. Exactly because of this reason Gibert's disease modestly referred to as " skin diseases allergic-infectious nature».

It is impossible, accordingly, how to attribute pityriasis rosea to bacterial, viral or fungal diseases, and prescribe appropriate treatment with specialized drugs. Due to the obvious similarities in developmental stages pityriasis rosea With shingles, it has been suggested that Gibert's disease may be caused by altered herpes virus types 6 or 7, however, this has not yet been confirmed. It seems quite possible that we become infected with a pathogen pityriasis rosea, like the herpes virus, but for the time being it does not manifest itself in any way, but under certain circumstances it blooms in full bloom. This theory is also supported by the fact that after a “complete” recovery from pityriasis rosea Repeated relapses of the disease are possible.

Let's try to summarize briefly: pityriasis rosea begins with a single pink spot, the so-called “maternal plaque” or “maternal spot,” which is usually localized on the patient’s torso, less often on the arms. The formation does not have clearly defined boundaries, they are smoothed out, and at this stage the patient is practically not bothered by anything. After about a week, the spot begins to resemble a crater with a concave, flaky center and a ridge along the edge, its color changes to bright pink. The patient's lymph nodes become enlarged and all the symptoms described above appear. Secondary rashes pityriasis rosea, in addition to the torso and arms, can spread to the neck and legs, but the rash almost never occurs on the face. After two weeks, the spots begin to change color to yellowish-brown, while the middle remains pink and flaky. Gradually, the spots fade and disappear, but in some cases white marks remain on the skin for a long time or, conversely, areas with increased pigmentation. The patient’s recovery may occur in 2-3 months, or it may take six months or more.

Additionally, the patient may be bothered :
- a feeling of severe dryness and “tightness” of the skin in areas of rashes;
- peeling of the skin between spots, its redness;
- sharp deterioration conditions after contact with water.

There is a clear connection between a sharp weakening of immunity and the development Giber's disease is also clearly visible, and therefore the peak incidence is observed in winter and spring. There are known cases of the disease developing after stress, skin damage, metabolic disorders, blood-sucking insect bites. Pityriasis rosea has no preference for gender based, most patients are men and women from 16 to 40 years old; this disease develops extremely rarely in children.

In diagnostics pityriasis rosea Of primary importance, in addition to the general complaints of the patient, is the localization of the primary maternal plaque, the absence of recurrent rashes within a week, and also the fact that recurrent rashes occur exclusively along the so-called Langer’s lines, which are located along the natural skin folds. A blood test will show an increase in the number of white blood cells and ESR indicators, as evidence of the presence inflammatory process in the body, as well as a general urine test will show traces of protein. Scraping is taken mainly to separate pityriasis rosea from other similar diseases.

In treatment pityriasis rosea the main place is given to medications that increase immunity (immunomodulators and vitamins), relieve allergic manifestations(primarily itching - antihistamines and corticosteroids are indispensable here), in case of extensive rashes with secondary bacterial infection due to scratching, antibiotics are prescribed. A beneficial effect of UV radiation on patients has been noted, so sunbathing or visiting a solarium is not forbidden, but it is better to avoid synthetics and scratchy woolen items in the wardrobe for now.

Diet is also of great importance. Patients with pityriasis rosea are advised to exclude it from the diet:
- citrus fruits;
- eggs;
- chocolate;
- nuts;
- alcohol;
- strong coffee and tea;
- spicy;
- fatty;
- fried.
You are allowed to wash only in the shower, without soap or a washcloth.

Opinions about contagiousness pityriasis rosea also vary greatly. There are cases where the disease developed in several family members at the same time, but at the same time there is a lot of evidence when, even if there was a sick person in the house and very close contact with family members, no one else got sick. Even in this case, doctors blame the state of the immune system: they say, if everything is fine there, pityriasis rosea you are not in danger. Just in case, it is strongly recommended that you do not share a comb or towels with the patient.

There is no specific prevention for pityriasis rosea . The key to success here is healthy image life, absence concomitant diseases. And from stressful situations, alas, no one is guaranteed.

Good health to everyone!