Pityriasis lichenoides et varioliformis acuta

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Synonyms and keywords:

Overview

Pityriasis Lichenoides et Varioliformis Acuta, or Mucha Habermann's Disease, short form PLEVA, is a disease of the immune system. It is the more severe version of Pityriasis lichenoides chronica. The disease is characterized by rashes and small lesions on the skin. The disease is most common in males and usually occurs in childhood, although it has been seen in every age group and every race. It is possible for the disease to go into remission for short periods of time or forever.

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pityriasis Lichenoides et Varoliformis Acuta from other Diseases

It is commonly misdiagnosed as chickenpox or rosacea.

Epidemiology and Demographics

Age

Gender

Race

Risk Factors

Natural History, Complications and Prognosis

Prognosis is usually good with treatment.

Diagnosis

Diagnostic criteria

The most common way to diagnose is by biopsy.

History and Symptoms

Physical Examination

Skin

Trunk

Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.^[1]

Laboratory Findings

Imaging Findings

Other Diagnostic Studies

Treatment

Medical therapy

It is not contagious and currently there is no cure for the disease, although the lesions can be treated with ultraviolet therapy as well as topical steroids and antibiotics.

Treatment often involves multiple therapies that address the immune system and bacterial, viral, or dermatological causes.

Surgery

Prevention

External links

Template:DermNet

References

↑ ^1.00 ^1.01 ^1.02 ^1.03 ^1.04 ^1.05 ^1.06 ^1.07 ^1.08 ^1.09 ^1.10 ^1.11 ^1.12 ^1.13 ^1.14 ^1.15 ^1.16 ^1.17 ^1.18 ^1.19 ^1.20 ^1.21 ^1.22 ^1.23 ^1.24 ^1.25 ^1.26 ^1.27 "Dermatology Atlas".

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Template:WikiDoc Sources

[Dermatology_Atlas-1] 1.00 ^1.01 ^1.02 ^1.03 ^1.04 ^1.05 ^1.06 ^1.07 ^1.08 ^1.09 ^1.10 ^1.11 ^1.12 ^1.13 ^1.14 ^1.15 ^1.16 ^1.17 ^1.18 ^1.19 ^1.20 ^1.21 ^1.22 ^1.23 ^1.24 ^1.25 ^1.26 ^1.27 "Dermatology Atlas".

[1]

v t e Diseases of the skin and subcutaneous tissue (integumentary system) (L, 680-709)
Infections	Template:Navbox subgroup
Bullous disorders	acantholysis (Pemphigus, Transient acantholytic dermatosis) · Pemphigoid (Bullous, Cicatricial, Gestational) · Dermatitis herpetiformis
Inflammatory	Template:Navbox subgroup
Radiation-related disorders	Sunburn · actinic rays (Actinic keratosis, Actinic cheilitis) · Polymorphous light eruption (Acne aestivalis) · Radiodermatitis · Erythema ab igne
Pigmentation disorder	hypopigmentation (Albinism, Vitiligo) · hyperpigmentation (Melasma, Freckle, Café au lait spot, Lentigo/Liver spot, Acanthosis nigricans, Acral acanthotic anomaly)
Other skin	keratosis/hyperkeratosis (Seborrheic keratosis, Callus) · other epidermal thickening (Ichthyosis acquisita, Palmoplantar keratoderma) skin ulcer (Pyoderma gangrenosum, Bedsore) Cutaneous Markers of Internal Malignancy (Florid cutaneous papillomatosis, acanthosis nigricans, sign of Leser-Trelat) atrophic (Lichen sclerosus, Acrodermatitis chronica atrophicans) necrobiosis (Granuloma annulare, Necrobiosis lipoidica) · other granuloma (Granuloma faciale, Pyogenic granuloma) cutaneous vasculitis (Livedoid vasculitis, Erythema elevatum diutinum)
Connective tissues	collagen disease: Keloid localized connective tissue disorders: Lupus erythematosus (Discoid lupus erythematosus, Subacute cutaneous lupus erythematosus) · Scleroderma/Morphea · Linear scleroderma · Calcinosis cutis · Sclerodactyly · Ainhum
see also congenital, neoplasia