Pityriasis lichenoides et varioliformis acuta: Difference between revisions
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{{Infobox_Disease | {{Infobox_Disease | ||
| Name = Pityriasis lichenoides et varioliformis acuta | | Name = Pityriasis lichenoides et varioliformis acuta | ||
| Image = PLEVA.jpg | | Image = PLEVA.jpg | ||
}} | }} | ||
__NOTOC__ | __NOTOC__ | ||
{{SI}} | {{SI}} | ||
{{CMG}}; {{AE}} {{KS}} | {{CMG}}; {{AE}} {{KS}} | ||
{{SK}} | |||
==Overview== | ==Overview== | ||
'''[[Pityriasis]] Lichenoides et Varioliformis Acuta''', or '''Mucha Habermann's Disease''', short form '''PLEVA''', is a [[disease]] of the [[Immune system#Disorders of the human immune system|immune system]]. It is the more severe version of [[Pityriasis lichenoides chronica]]. The disease is characterized by [[rash]]es and small [[lesion]]s on the [[Skin#Aging and disease|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== | ==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== | ==Diagnosis== | ||
===Diagnostic criteria=== | |||
The most common way to [[Diagnosis|diagnose]] is by [[biopsy]]. | |||
===History and Symptoms=== | |||
===Physical Examination=== | ===Physical Examination=== | ||
====Skin==== | ====Skin==== | ||
Line 35: | Line 51: | ||
<gallery> | <gallery> | ||
Image:Pityriasis lichenoides et | Image:Pityriasis lichenoides et varioliformis acuta01.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | ||
Image:Pityriasis lichenoides et varioliformis acuta02.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Pityriasis lichenoides et varioliformis acuta03.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Pityriasis lichenoides et | Image:Pityriasis lichenoides et varioliformis acuta04.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | ||
Image:Pityriasis lichenoides et | Image:Pityriasis lichenoides et varioliformis acuta05.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | ||
Image:Pityriasis lichenoides et | Image:Pityriasis lichenoides et varioliformis acuta06.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | ||
Image:Pityriasis lichenoides et varioliformis acuta07.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Pityriasis lichenoides et | Image:Pityriasis lichenoides et varioliformis acuta08.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | ||
Image:Pityriasis lichenoides et varioliformis acuta09.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Pityriasis lichenoides et varioliformis acuta10.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Pityriasis lichenoides et | Image:Pityriasis lichenoides et varioliformis acuta11.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | ||
Image:Pityriasis lichenoides et | Image:Pityriasis lichenoides et varioliformis acuta12.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | ||
Image:Pityriasis lichenoides et | Image:Pityriasis lichenoides et varioliformis acuta13.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | ||
Image:Pityriasis lichenoides et | Image:Pityriasis lichenoides et varioliformis acuta14.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | ||
Image:Pityriasis lichenoides et | Image:Pityriasis lichenoides et varioliformis acuta15.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | ||
Image:Pityriasis lichenoides et varioliformis acuta16.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Pityriasis lichenoides et varioliformis acuta17.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Pityriasis lichenoides et varioliformis acuta18.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Pityriasis lichenoides et | Image:Pityriasis lichenoides et varioliformis acuta19.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | ||
Image:Pityriasis lichenoides et varioliformis acuta20.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Pityriasis lichenoides et | Image:Pityriasis lichenoides et varioliformis acuta21.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | ||
Image:Pityriasis lichenoides et | Image:Pityriasis lichenoides et varioliformis acuta22.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | ||
Image:Pityriasis lichenoides et varioliformis acuta23.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Pityriasis lichenoides et varioliformis acuta24.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Pityriasis lichenoides et varioliformis acuta25.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Pityriasis lichenoides et varioliformis acuta26.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
Image:Pityriasis lichenoides et | Image:Pityriasis lichenoides et varioliformis acuta27.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | ||
Image:Pityriasis lichenoides et varioliformis acuta28.jpg|Pityriasis lichenoides et varioliformis acuta. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/ With permission from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL> | |||
</gallery> | |||
===Laboratory Findings=== | |||
===Imaging Findings=== | |||
===Other Diagnostic Studies=== | |||
==Treatment== | ==Treatment== | ||
===Medical therapy=== | |||
It is not contagious and currently there is no cure for the disease, although the lesions can be treated with [[Ultraviolet#Health effects|ultraviolet therapy]] as well as topical [[Steroid|steroids]] and [[Antibiotic|antibiotics]]. | It is not contagious and currently there is no cure for the disease, although the lesions can be treated with [[Ultraviolet#Health effects|ultraviolet therapy]] as well as topical [[Steroid|steroids]] and [[Antibiotic|antibiotics]]. | ||
Treatment often involves multiple therapies that address the immune system and bacterial, viral, or dermatological causes. | Treatment often involves multiple therapies that address the immune system and bacterial, viral, or dermatological causes. | ||
===Surgery=== | |||
===Prevention=== | |||
==See also== | ==See also== | ||
Line 155: | Line 182: | ||
* {{DermNet|scaly/pityriasis-lichenoides}} | * {{DermNet|scaly/pityriasis-lichenoides}} | ||
==References== | |||
{{Reflist|2}} | |||
{{Diseases of the skin and subcutaneous tissue}} | {{Diseases of the skin and subcutaneous tissue}} | ||
{{SIB}} | {{SIB}} | ||
[[Category: | [[Category:Immunology]] | ||
[[Category:Rheumatology]] | |||
[[Category:Dermatology]] | [[Category:Dermatology]] | ||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} |
Latest revision as of 15:53, 6 July 2016
Pityriasis lichenoides et varioliformis acuta | |
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]
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Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.[1]
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Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.[1]
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Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.[1]
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Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.[1]
-
Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.[1]
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Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.[1]
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Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.[1]
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Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.[1]
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Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.[1]
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Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.[1]
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Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.[1]
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Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.[1]
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Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.[1]
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Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.[1]
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Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.[1]
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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]
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Pityriasis lichenoides et varioliformis acuta. With permission from Dermatology Atlas.[1]
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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
See also
External links
References