Materiały źródłowe

• #1 Pityriasis rosea | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/pityriasis-rosea

  Pityriasis rosea usually goes away on its own without treatment in 4 to 10 weeks. If the rash doesn’t disappear by then or the itching bothers you, talk with your health care provider about treatments. The condition clears up without scarring and usually doesn’t come back. […] If home remedies don’t ease symptoms or shorten the duration of pityriasis rosea, your health care provider might prescribe medicine. Examples include corticosteroids and antihistamines. […] Your health care provider might also suggest light therapy. In light therapy, you’re exposed to natural or artificial light that may ease your symptoms. Light therapy may cause lasting spots of skin that are darker than usual (post-inflammatory hyperpigmentation), even after the rash clears.

• #2 Pityriasis rosea: Diagnosis and treatment

  https://www.aad.org/public/diseases/a-z/pityriasis-rosea-treatment

  Pityriasis rosea causes a rash that will clear on its own, so most people dont need treatment. […] Most people do not need treatment, but sometimes, it can be helpful. Your dermatologist may recommend treatment if your symptoms or the rash: Causes discomfort that interferes with everyday life […] Heres what a treatment plan may include for the: […] If you have pityriasis rosea, the rash will go away without treatment. […] Sometimes, pityriasis rosea causes itchy skin. If youre bothered by itch, your dermatologist may include one or more of the following in your treatment plan: […] If you have a long-lasting rash thats causing discomfort, severe itch, or both, your dermatologist can develop a treatment plan. […] The following are only prescribed when symptoms are severe and causing great discomfort:

• #3 Pityriasis Rosea: Diagnosis and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2018/0101/p38.html

  Pityriasis rosea is a common self-limiting rash that usually starts with a herald patch on the trunk and progresses along the Langer lines to a generalized rash over the trunk and limbs. […] Treatment is aimed at controlling symptoms and consists of corticosteroids or antihistamines. In some cases, acyclovir can be used to treat symptoms and reduce the length of disease. Ultraviolet phototherapy can also be considered for severe cases. […] Symptoms of pityriasis rosea can be managed with oral or topical corticosteroids or oral antihistamines. […] Acyclovir is effective in the treatment of pityriasis rosea and may be considered in severe cases. […] The self-limited course of pityriasis rosea allows for watchful waiting and symptomatic treatment of pruritus in most patients. Treatment with oral antihistamines or topical or oral corticosteroids is advised based on expert consensus and low potential for harm.

• #4 Pityriasis Rosea Treatment & Management: Approach Considerations, Pharmacologic Therapy and Phototherapy, Consultations

  https://emedicine.medscape.com/article/1107532-treatment

  Pityriasis rosea (PR) is a self-limited disease; treatment is supportive. Water, sweat, and soap may cause irritation and should be avoided early in the disease. Topical zinc oxide and calamine lotion are useful for pruritus. If the disease is severe or widespread (eg, vesicular pityriasis rosea), topical or oral steroids may be used. Ultraviolet (UV) radiation therapy has been demonstrated to be effective for pityriasis rosea but may leave postinflammatory pigmentation at the site of the pityriasis rosea lesion. […] For patients in whom superficial tinea infection is a concern or possibility, topical antifungal therapy can be used. Some data suggest that the antiviral agent acyclovir could hasten resolution. […] In most cases, it is not necessary to treat pityriasis rosea (PR). The rash usually disappears in a few weeks, with no sequelae. Although various treatments have been attempted, the efficacy of most of them has not been definitively proved.

• #5 Interventions for pityriasis rosea

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6819167/

  Pityriasis rosea is a scaly, itchy rash that mainly affects young adults and lasts for 2 to 12 weeks. The effects of many available treatments are uncertain. This is an update of a Cochrane Review first published in 2007. […] To assess the effects of interventions for the management of pityriasis rosea in any individual diagnosed by a medical practitioner. […] Randomised controlled trials of interventions in pityriasis rosea. Treatment could be given in a single therapy or in combination. Eligible comparators were no treatment, placebo, vehicle only, another active compound, or placebo radiation treatment. […] We included 14 trials (761 participants). […] The included studies assessed macrolide antibiotics, an antiviral agent, phototherapy, steroids and antihistamine, and Chinese medicine.

• #6 Pityriasis rosea – DermNet

  https://dermnetnz.org/topics/pityriasis-rosea

  What is the treatment for pityriasis rosea? […] While pityriasis rosea is a self-limiting disease, an important goal of treatment is to control pruritus, which may be severe in 25% of patients. In addition to education and reassurance, many patients will benefit from: […] The following therapies may help with the symptoms and speed up clearance: […] Medium potency topical steroid creams/ointments and oral antihistamines may reduce the itch while waiting for the rash to resolve. […] For patients with severe itching, treatment with zinc oxide, calamine lotion, and even oral steroids may be helpful. Routine use of oral steroids is not recommended due to risk for relapse after treatment and limited evidence. […] A 7-day course of aciclovir may lead to faster resolution of lesions and help to relieve itching in severe cases […] Extensive or persistent cases can be treated by phototherapy (narrowband ultraviolet B therapy) […] Macrolide antibiotics were once advocated, but do not appear to be beneficial.

• #7 Pityriasis Rosea | AAFP

  https://www.aafp.org/pubs/afp/issues/2004/0101/p87.html

  The rash of pityriasis rosea typically lasts about five weeks and resolves by eight weeks in more than 80 percent of patients. An important goal of treatment is to control pruritus, which may be severe in 25 percent of patients. For patients with severe pruritus, experts have recommended treatment with zinc oxide, calamine lotion, topical steroids, oral antihistamines, and even oral steroids. […] Few controlled trials on the treatment of pityriasis rosea have been conducted. The results of one prospective, blinded, placebo-controlled study of 90 patients showed complete clearance of the rash in 73 percent of patients who received two weeks of erythromycin therapy, compared with no clearance of the rash in patients who received placebo. The study was not randomized, and allocation to groups was not concealed; therefore, the benefit may have been overestimated. Because studies have failed to identify an increase in antibody titers against Mycoplasma, Chlamydia, or Legionella species, the authors of the study speculate that the effect of erythromycin may be related to its anti-inflammatory properties.

• #8 Pityriasis rosea

  https://www.nhs.uk/conditions/pityriasis-rosea/

  Pityriasis rosea usually gets better on its own within a few months without any treatment. It might get worse before it goes away completely. […] If the rash is uncomfortable or itchy, a pharmacist might advise: using an emollient (moisturising treatment for the skin) on the rash, taking antihistamine tablets to help with the itching, avoiding using soaps and body washes. […] If these treatments do not work or if you have severe pityriasis rosea, your GP may recommend steroid cream or refer you to a skin specialist (dermatologist).

• #9 Pityriasis Rosea (Christmas Tree Rash): Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/17729-pityriasis-rosea

  There are several over-the-counter products or home remedies that can help stop your rash from itching. […] Antihistamines. Antihistamines are a class of drugs commonly used to treat allergy symptoms, including itchy skin. Calamine lotion can relieve itching and discomfort as well as moisturize dry, scaly skin. Hydrocortisone creams or ointments. Hydrocortisone is a corticosteroid combined with an anesthetic pain reliever. Oatmeal can soothe itchiness. […] If you have pityriasis rosea, you don’t have to avoid any foods or drinks. However, some people believe that eating an anti-inflammatory diet may relieve itching. […] If you have pityriasis rosea, it can generally be well-managed without any treatment. It should clear your body in six to eight weeks. However, if you experience any symptoms, therapy can provide relief.

• #9 Pityriasis Rosea (Christmas Tree Rash): Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/17729-pityriasis-rosea

  Pityriasis rosea is a common condition that causes discolored patches on your skin. For most people, it resolves without treatment. Some treatments can alleviate related symptoms, including itching. […] In most cases, pityriasis rosea goes away without any treatment in six to eight weeks. […] If you have a very itchy rash, your healthcare provider may prescribe the following to help relieve your symptoms: Antivirals. Antiviral medications help your body fight off harmful viruses. Phototherapy. Phototherapy uses ultraviolet light, usually ultraviolet B (UVB), from special lamps. The ultraviolet light waves found in sunlight can help certain skin disorders, including pityriasis rosea. UVB can cause permanent dark spots (hyperpigmentation) in darker skin of color even after your rash has gone away, so it’s a good idea to check with your healthcare provider if you have darker skin. Prednisone tablets. Prednisone is a corticosteroid taken by mouth with a glass of water. It relieves inflammation in your skin as well as other parts of your body.

• #10 Pityriasis Rosea Treatment & Management: Approach Considerations, Pharmacologic Therapy and Phototherapy, Consultations

  https://emedicine.medscape.com/article/1107532-treatment

  Generally, patient education (eg, to avoid exposure to irritant agents [eg, harsh soaps, fragrances, hot water, wool, and synthetic fabrics], tight clothing, and scratching), coupled with reassurance that the rash will resolve, is all that is needed. However, it can be helpful to institute measures aimed at relieving bothersome symptoms (eg, pruritus). […] Pruritus is commonly associated with pityriasis rosea and often responds to bland emollients, oral antihistamines, or topical preparations containing calamine, menthol-phenol, pramoxine, colloidal starch, or oatmeal. If the rash is severe, topical steroids can be applied. It must be kept in mind that although steroids alleviate the pruritus, they do not modify the eruption. The sedative effect of the antihistamines may help the patient to sleep better at night.

• #11 How Does A Person Get Pityriasis Rosea? Symptoms & Treatment

  https://www.emedicinehealth.com/how_does_a_person_get_pityriasis_rosea/article_em.htm

  What Is the Treatment for Pityriasis Rosea? Pityriasis rosea goes away on its own in 6 to 8 weeks, and in some cases, no treatment is needed. Any treatment is aimed at relief of symptoms. […] For itching: Topical zinc oxide, calamine lotion, menthol-phenol, pramoxine, colloidal starch, or oatmeal baths can help relieve itching. Oral antihistamines may also help stop the itch and they may help patients sleep since they cause drowsiness. If the disease is severe or widespread, topical or oral steroids may be used. Ultraviolet (UV) radiation therapy is effective but may leave dark spots at the site of the pityriasis rosea lesions. Topical antifungal therapy may be used if superficial tinea infection is a concern. The antiviral drug acyclovir may help shorten the duration of the condition. […] A dermatologist (a doctor who specializes in diagnosis and treatment of skin conditions) may need to be consulted if a patient has severe itching or requires prescription medications.

• #12 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=85&contentid=P00305

  Treatment will depend on your symptoms, your age, and your general health. It will also depend on how severe the condition is. The rash should go away without treatment. But it can take 1 to 3 months or longer. Once the rash goes away, it doesnt come back. […] You can treat your itching with any of these: […] Corticosteroid cream or ointment. You can put this medicine on the rash 2 to 3 times a day, for up to 3 weeks. This may help with itch, but it likely wont make the rash disappear. […] Calamine lotion. This is a pink, watery lotion that can help stop itching. […] Antihistamine. This medicine can help reduce itching. You can put it on the skin as a cream or take it by mouth as a pill. […] Other anti-itch lotion or cream. Ask your healthcare provider about other anti-itch lotions or creams that can help ease itching. They may prescribe a stronger medicine if an over-the-counter medicine isnt helping you.

• #13 Understanding Pityriasis Rosea | Saint Luke’s Health System

  https://www.saintlukeskc.org/health-library/understanding-pityriasis-rosea

  The rash should go away without treatment. But it can take 4 to 8 weeks or longer. […] You can treat your itching with any of these: […] Corticosteroid cream or ointment. You can apply this medicine to the rash 2 to 3 times a day, for 2 to 3 weeks. […] Calamine lotion. This is a pink, watery lotion that can help stop itching. […] Antihistamine. This medicine can help reduce itching. But it may also make you drowsy. […] Other anti-itch lotion or cream. Ask your healthcare provider about other anti-itch lotion or cream that can help ease itching. They may prescribe a stronger medicine if over-the-counter medicine isn’t helping you. […] If you have severe symptoms, your healthcare provider may treat you with: […] Acyclovir. This is a type of anti-virus medicine. It may help the rash go away sooner in some people. […] Ultraviolet light treatment. Exposing the skin to ultraviolet light in the first week can help lessen symptoms.

• #14 Pityriasis rosea – Wikipedia

  https://en.wikipedia.org/wiki/Pityriasis_rosea

  The condition usually resolves on its own, and treatment is not required. Oral antihistamines or topical steroids may be used to decrease itching. Steroids do provide relief from itching, and improve the appearance of the rash, but they also cause the new skin that forms (after the rash subsides) to take longer to match the surrounding skin color. While no scarring has been found to be associated with the rash, scratching should be avoided. It’s possible that scratching can make itching worse and an itch-scratch cycle may develop with regular scratching (that is, you itch more because you scratch, so you scratch more because you itch, and so on). Irritants such as soaps with fragrances, chlorinated water, wool, and synthetic fabrics should be avoided. Lotions that help stop or prevent itching may be helpful.

• #15 Pityriasis Rosea Treatment & Management: Approach Considerations, Pharmacologic Therapy and Phototherapy, Consultations

  https://emedicine.medscape.com/article/1107532-treatment

  Systemic steroids are not recommended because they may exacerbate the disease. However, some dermatologists use prednisone (0.5-1 mg/kg/day for 7 days) in selected patients with severe pruritus, vesicular lesions, or the potential for significant postinflammatory hyperpigmentation, to suppress both pruritus and the exanthem. A double-blind, randomized, placebo-controlled trial evaluated short-course, low-dose oral prednisolone and suggested its use only for those with extensive high symptomatic pityriasis rosea. […] UV-B phototherapy, starting at 80% of the minimum erythrogenic dose, may rapidly relieve pruritus in resistant cases. If itching is not controlled, the dose should be increased by 20% until symptoms decrease. However, one study failed to find improvement in pruritus with UV-B light therapy but did note decreased lesion severity. The possibility of postinflammatory pigmentation with light therapy must be kept in mind.

• #16 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=85&contentid=P00305

  No treatment has been shown to be reliably effective. But if you have severe symptoms, your healthcare provider may try to treat you with any of the below: […] Prednisone. This is a steroid medicine taken by mouth (oral). It can help ease severe itching if needed. […] Acyclovir. This is a type of anti-virus medicine. It may help the rash go away sooner in some people if the rash is caused by a virus. […] Ultraviolet light treatment. Exposing the skin to ultraviolet light in the first week can help lessen symptoms. […] Talk with your healthcare providers about the risks, benefits, and possible side effects of all treatments.

• #17 Pityriasis Rosea: Diagnosis and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2018/0101/p38.html

  Antiviral medications have been studied for the treatment of pityriasis rosea because of its link with HHV-6 and -7. […] However, acyclovir appears to be a reasonable treatment option for severe cases of pityriasis rosea. […] Two small studies found improvements in severity and symptoms in patients with pityriasis rosea who received ultraviolet B phototherapy multiple times per week for up to four weeks. […] Treatment with acyclovir can be considered, although more studies are needed to clarify its potential benefits.

• #18 Pityriasis rosea: Diagnosis and treatment

  https://www.aad.org/public/diseases/a-z/pityriasis-rosea-treatment

  This medication can relieve severe itching. Your dermatologist will tell you which antihistamine to take and how often to take it. […] In studies, phototherapy has been found to relieve both the itch and severity of pityriasis rosea in 4 weeks. […] Research shows that this medication can also reduce a severe rash caused by pityriasis rosea. […] If you also have bothersome itching, your dermatologist can prescribe an emollient or anti-itch cream along with acyclovir. […] While rare, pityriasis roseacan cause patches, spots, and other lesions inside the mouth or throat. […] If the spots bother you, your dermatologist may help them clear more quickly.

• #19 Pityriasis Rosea | AAFP

  https://www.aafp.org/pubs/afp/issues/2004/0101/p87.html

  Ultraviolet radiation, through artificial sources or intentional exposure to natural sunlight, has been recommended to decrease the duration of rash and intensity of itching in patients with pityriasis rosea. In a 1983 study, 20 patients were treated unilaterally (one half of each patient’s body served as the treatment side and the other half was left untreated) five times daily. Improvement of rash and itching was reported for 50 percent of the treated sides. However, a 1995 study that used the same unilateral approach in 17 patients found initial improvement in the appearance of the lesions, but no change in itching or overall patient status (severity of lesions or itching) on follow-up two and four weeks after the two-week treatment course. Therefore, the authors recommend treatment only for the purpose of achieving earlier lesion improvement in patients with extensive disease. Because post-inflammatory hyperpigmentation may occur with ultraviolet B radiation therapy, some experts recommend against its use.

• #20 Pityriasis Rosea: An Update on Etiopathogenesis and Management of Difficult Aspects

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4966395/

  As PR is a self-limiting disorder, most patients just need to be counseled regarding the natural course of the disease instead of putting them on an aggressive treatment protocol. Most patients would just need emollients, antihistaminics, and sometimes topical steroids to control pruritus. […] Numerous therapies have been tried in various studies, but the Cochrane review did not find adequate evidence for the efficacy of any of these. […] Though topical and systemic steroids are sometimes used in cases of PR, there is a lack of substantial evidence supporting or refuting their use. […] The mechanism of action of macrolides in PR is not known; however, it is believed that they act more through their anti-inflammatory and immunomodulatory actions rather than the antibiotic effect. […] The rationale behind the use of antivirals in PR is that the course of the disease follows that of a viral exanthem, i.e., seasonal occurrence, presence of prodromal symptoms, self-resolution, and also probable involvement of HHV 6 and 7 in its etiopathogenesis. Acyclovir is the only antiviral that has been tried and various studies assessing its efficacy have been tabulated. […] Acyclovir does lead to a faster resolution of lesions as compared to placebo, and thus may be an effective treatment modality. […] Thus, acyclovir seems to be a promising therapy for treatment of PR leading to faster resolution of lesions and also helping in relieving pruritus.

• #21 Interventions for pityriasis rosea

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6819167/

  When compared with placebo, erythromycin may lead to increased rash improvement (medical practitioner-rated) […] Acyclovir was compared to placebo, vitamins, or no treatment in three trials […] Based on one trial (21 participants), itch resolution is probably higher with placebo than with acyclovir […] However, there is probably a significant difference between groups in rash improvement (medical practitioner-rated) in favour of acyclovir versus all comparators […] The addition of acyclovir may lead to increased itch resolution […] When compared with placebo or no treatment, oral acyclovir probably leads to increased good or excellent, medical practitioner-rated rash improvement. […] We found low to moderate-quality evidence that erythromycin probably reduces itch more than placebo. […] Small study sizes, heterogeneity, and bias in blinding and selective reporting limited our conclusions. Further research is needed to investigate different dose regimens of acyclovir and the effect of antivirals on pityriasis rosea.

• #22 Pityriasis Rosea Treatment & Management: Approach Considerations, Pharmacologic Therapy and Phototherapy, Consultations

  https://emedicine.medscape.com/article/1107532-treatment

  Some evidence suggests that acyclovir may be useful. Treatment in the first week of symptom onset with 1 g of acyclovir taken orally 5 times a day for 7 days in adults has been shown to shorten the duration of disease and may be of benefit. Lower dosages of 400 mg 5 times a day for 1 week may be equally effective. However, acyclovir has been shown to be ineffective against HHV-6 and HHV-7. […] A number of antibiotics have been tried, without much success. In a small clinical trial, 1 g of erythromycin taken orally 4 times daily in adults or 25-40 mg/kg divided 4 times daily in children for 2 weeks led to early resolution of symptoms. However, another study did not find erythromycin to be useful in this condition. Azithromycin also was not found to be effective for children with pityriasis rosea.

• #23 Pityriasis Rosea – Dermatologic Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/dermatologic-disorders/psoriasis-and-scaling-diseases/pityriasis-rosea

  No specific treatment is necessary because the eruption usually remits within 5 weeks and recurrence is rare. […] Antipruritic therapy such as topical corticosteroids, oral antihistamines, or topical measures may be used as needed. […] Limited data suggest that a short course of acyclovir may be helpful in patients who present early and have widespread disease, or present with flu-like symptoms. […] Pregnant women should be offered acyclovir; however, antiviral therapy has not proved to reduce obstetric complications. […] Treat with antipruritic medications as needed and possibly topical corticosteroids and/or sunlight. […] Pityriasis rosea during the first 15 weeks of pregnancy is associated with premature birth or fetal demise.

• #24 Pityriasis Rosea Treatment & Management: Approach Considerations, Pharmacologic Therapy and Phototherapy, Consultations

  https://emedicine.medscape.com/article/1107532-treatment

  In a randomized trial involving 42 patients with a clinical diagnosis of pityriasis rosea who were treated with either high-dose oral acyclovir or standard-dose oral erythromycin, all of the patients in the 2 groups exhibited a complete response after 8 weeks. Although the study findings indicated that both agents were helpful, patients receiving acyclovir showed a better response, which was statistically significant in weeks 1, 2, 4, and 6. […] Management of pityriasis rosea in patients with evidence of group A streptococcal infection may be warranted. The possible risk of scarlet fever and poststreptococcal sequelae should be considered.

• #25 Pityriasis rosea: How to treat it at home

  https://www.aad.org/public/diseases/a-z/pityriasis-rosea-self-care

  If you have pityriasis rosea, the rash and symptoms will go away without treatment. Until the rash clears, here are 9 tips that dermatologists give their patients to help them feel more comfortable. […] Avoid overheating when you can. Heat can worsen the rash and the itch. To reduce the risk of overheating, do the following until your rash clears: […] Take warm not hot showers and baths. Hot water can worsen the rash and itch. […] Protect your rash(es) from the sun. Getting a sunburn while you have pityriasis rosea can feel miserable. […] Be gentle with your skin and use fragrance-free skin care products until the rash clears. Rubbing or scrubbing your skin can irritate your skin, causing the rash to worsen. […] Apply a fragrance-free emollient to help your skin feel more comfortable. An emollient can relieve the itch and discomfort by moisturizing, softening, and soothing your skin.

• #26 Pityriasis Rosea Treatment Options: What is Pityriasis Rosea Treatment? – Forefront Dermatology

  https://forefrontdermatology.com/services/pityriasis-rosea-treatment/

  Treatment is often watch and wait as pityriasis rosea often disappears after a few weeks. However, there are treatment options, which include: […] Oatmeal baths to relieve itching […] Medicated, topical lotions such as corticosteroids […] Ultraviolet light […] Antiviral drugs. […] During the presence of pityriasis rosea, patients are advised to severely restrict physical activity that can lead to overheating the body, and to avoid hot baths.

• #27 Pityriasis rosea | healthdirect

  https://www.healthdirect.gov.au/pityriasis-rosea

  Most treatments for pityriasis rosea aim to soothe the skin and relieve itching. They include: […] corticosteroid cream or ointment, which may also decrease redness […] using a gentle soap-free wash […] using moisturiser. […] If you have pityriasis rosea, avoid having a hot bath or sauna, as heat can make the itching worse. […] Natural or artificial sunlight can help fade the rash, but in some people, this can cause lasting dark patches.

• #28 Pityriasis rosea: How to treat it at home

  https://www.aad.org/public/diseases/a-z/pityriasis-rosea-self-care

  Wear loose-fitting clothes. If clothing rubs against the rash, this can worsen the rash. […] Relieve the itch with one or more of these dermatologist-recommended remedies. The rash can be itchy, and sometimes severely itchy. […] Never use an anti-fungal medication to treat pityriasis rosea. Applying any anti-fungal medication to a pityriasis rosea rash can worsen the rash. […] While the rash of pityriasis rosea can often be cared for at home, you should see a board-certified dermatologist if the rash worsens or lasts longer than 3 months. No one knows your skin better than a dermatologist, who can tell you whether treatment is needed.

• #29 Pityriasis Rosea: Causes, Symptoms, Stages, & Treatment

  https://www.medicinenet.com/pityriasis_rosea/article.htm

  Home remedies for pityriasis rosea include taking lukewarm baths or showers, avoiding drying soaps, wearing cotton or silk clothing to reduce heat, and taking oatmeal baths. Calamine or menthol anti-itch lotions can also be helpful for itching. […] The treatment for pityriasis rosea is generally supportive, as the condition typically resolves within six to nine weeks without medical intervention. Topical corticosteroids, antihistamines, and calamine lotion are commonly used to manage itching and discomfort. Phototherapy (UVB) or oral antivirals may be considered in atypical, severe, or persistent cases.

• #30 Pityriasis Rosea | HealthLink BC

  https://www.healthlinkbc.ca/healthwise/pityriasis-rosea

  Pityriasis rosea usually goes away without treatment within 6 to 8 weeks. If the rash itches, there are over-the-counter medicines that can help. Or your doctor may prescribe a cream or ointment. […] Severe cases of pityriasis rosea may be treated with medicines or with ultraviolet light therapy. Also, if you are pregnant and get this rash, check with your doctor since you may need treatment. […] If the rash lasts more than 3 months, contact your doctor.

• #31

  https://111.wales.nhs.uk/pityriasisrosea/

  Pityriasis rosea usually gets better on its own within a few months without any treatment. It might get worse before it goes away completely. […] If the rash is uncomfortable or itchy, a pharmacist might advise: using an emollient (moisturising treatment for the skin) on the rash, taking antihistamine tablets to help with the itching, avoiding using soaps and body washes. […] If these treatments do not work or if you have severe pityriasis rosea, your GP may recommend steroid cream or refer you to a skin specialist (dermatologist). […] See a GP if: you have a rash that’s still itchy after trying pharmacy treatments like emollients or antihistamines, you have a rash that has not gone away after 3 months.

• #32 Pityriasis Rosea Treatment In Gainesville, FL

  https://www.gainesvilledermatologyskinsurgery.com/pityriasis-rosea/

  Pityriasis rosea treatment and the wide range of skin conditions we treat. Prioritize the health of your skin; schedule a dermatologist appointment today. […] In some cases, pityriasis rosea can go away on its own in 4-10 weeks, though it may last longer. If the rash doesn’t disappear by this time or if the itching is bothersome, consult your dermatologist to discuss treatment options. Your dermatologist may prescribe certain medications, and/or they may recommend certain pityriasis rosea treatment creams or other over-the-counter medications and home remedies, such as antihistamines, hydrocortisone anti-itch cream, and lukewarm oatmeal baths, to help soothe your skin until the rash disappears. […] Patients who are pregnant and develop pityriasis rosea should contact their physician right away, as this may produce a greater risk of a miscarriage or premature delivery.

• #33

  https://www.elsevier.com/resources/clinicalkey-ai/what-is-the-preferred-treatment-for-pityriasis-rosea-7ef3

  The preferred treatment for pityriasis rosea is primarily symptomatic, including topical corticosteroids and oral antihistamines. […] Consideration may be given to oral acyclovir for severe cases, especially if there is significant pruritus. […] Topical corticosteroids can be used to provide symptomatic relief from itching and inflammation. […] Oral antihistamines are recommended to help alleviate pruritus. […] Oral acyclovir, dosed at 400 mg three times daily for 7 days, can be considered for patients with severe symptoms, as it may help in attaining rash regression and lessening pruritus. […] Supportive treatments such as emollients, cornstarch baths, and menthol-containing lotions can be used to provide additional symptom relief. […] Phototherapy is another option for severe cases, although more studies are needed to fully establish its efficacy.

• #34 Pityriasis Rosea (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/pityriasis-rosea.html

  Pityriasis rosea usually goes away in 1 to 2 months without any treatment. Some cases can be as short as 2 weeks, while others can last for 3 months or longer. Some kids can have dark spots on the skin even after the rash is gone and this may take more time to clear up. […] When pityriasis rosea does need treatment, it’s usually just to control the itching. Over-the-counter itch creams or allergy medicine can help, and so can cool compresses and oatmeal baths. […] In some cases, doctors recommend exposure to sunlight to help improve the rash and ease itching. If your child uses this form of therapy, make sure they’re protected from sunburn, which can sometimes make a rash worse. […] Light therapy might be prescribed for cases where the itching is very bothersome. Usually, this involves ultraviolet B (UVB) therapy and is done by a dermatologist.

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