The majority of the patients presented with lesions only over the face. The information contained in this publication should not be used as a substitute for the medical care and advice of your pediatrician. Pityriasis alba is not caused by a fungus and is not contagious. Pityriasis alba is a common skin condition in children. Pityriasis alba pa is a localized hypopigmented disorder of childhood with many existing clinical variants. Pityriasis alba primary care dermatology society uk. Pdf pityriasis alba is a skin disease, commonly seen in children and young adults. Dec 15, 2017 pityriasis alba, tinea versicolor, and postinflammatory effect are common causes of pigment loss. Cheeks figure 76 are the classic location, but the rest of the face, neck, arms, and trunk may be involved patches may itch slightly but usually. Exact diagnosis should be done by serological tests for syphilis. Journal of the college of physicians and surgeons pakistan 2014, vol. Pityriasis alba shows a white plaque, like psoriasis but have not an erythema.
Pityriasis alba mainly affects children and adolescents aged 3 to 16 years, but can occur in older and younger people. Pubmed journal articles for pityriasis alba were found in prime pubmed. Pityriasis alba is a common dermatitis, but only a few histologic studies have been reported and most of these maintain that its microscopic features are those of a chronic nonspecific dermatitis. Pityriasis alba was found to occur more in the face 99. Pityriasis alba pityriasis alba is a common nonspecific skin disorder characterized by hypopigmented, round or oval macules or patches with fine, loosely adherent scales and indistinct margins. British association of dermatologists patient information. Pityriasis alba, is a common benign skin disease occurring predominantly among children, often on their face. Summary background the aetiology of pityriasis alba pa remains uncertain, and children are at risk for pa and intestinal parasites. Pityriasis alba is a common, benign skin disorder occurring predominantly in children and adolescents. This leaflet has been written to help you understand more about pityriasis alba. Clinical and laboratory studies were performed on 200 children and adolescents having facial skin lesions characteristic of pityriasis alba.
Pityriasis alba primarily affects children from 3 to 12 years old, and almost all patients are younger than 16. Pityriasis alba pa is a common benign disease, characterized by hypopigmented macules or patches on the face, usually seen in children. Pityriasis alba patient education handouts pediatric. A retrospective light microscopic study was performed on biopsy specimens taken from 39 patients with localized pityriasis alba on face, arms and forearms without signs of atopy. The open dermatology journal, 2009, 3, 78 7 1874372209 2009 bentham open open access pityriasis alba. Pityriasis alba is a common dermatitis, but only a few histologic studies have been reported and most of these maintain. It occurs in approximately 2 to 5 percent of children. Dermatologist toronto dermatology centre skin care clinic. Mancini md, in hurwitz clinical pediatric dermatology fourth edition, 2011 pityriasis alba. The hypopigmentation of pityriasis alba is more prominent, and the condition perhaps more common, in dark skin. However, there are ways to treat and prevent it, and most people outgrow the condition over time.
Personal hygiene habits, sun exposure, presence of staphylococcus aureus in nasal fossae. To assess the effect of the duration of disease on the histologic findings, a search of cases labeled pityriasis alba was performed on any cases submitted to our dermatopathology laboratory. Indian journal of dermatology, venereology and leprology. Possible associations with intestinal helminths and. Comparative study for the reliability of cellophane tape. A retrospective light microscopic study was performed on biopsy specimens taken from 39 patients with localized pityriasis alba on face. Pityriasis lichenoides american osteopathic college of. Pityriasis alba, a new clinical clue for extrinsic atopic dermatitis.
It is often associated with other sensitive skin conditions such as atopic dermatitis eczema. Pityriasis alba may be itchy but more commonly there are no symptoms associated with the condition. Free publisher full textpmc free full textpmc free pdf. Pdf pigmenting pityriasis alba is a rare variant of pityriasis alba. To assess the effect of the duration of disease on the histologic. Topical steroids eg, hydrocortisone 1%, desonide 0. Woods light provides a positive response in only onethird of cases. Prime pubmed pityriasis alba journal articles from pubmed.
It tells you what it is, what causes it, what can be done about it, and where you can find out more about it. Extensive pityriasis alba epa is a variant that is more common in adults and has a more generalized and truncal distribution. Pityriasis alba with poliosis world health organization. May 12, 2020 it is estimated that 5% of children in the u.
Pride, in pediatric dermatology, 2008 clinical presentation. No specific cause of pityriasis alba has been identified. No bacteria or fungus could be implicated in the pathogenesis of this lesion. Zinc has a role in pathogenesis of pityriasis alba elesawy fm, akl. Pityriasis alba, a relatively common skin disorder in children and young adults, is characterized by the presence of illdefined, scaly, faintly. Apr 03, 2020 because pityriasis alba is usually selflimited and asymptomatic, pharmacologic treatment is often unnecessary. Syphilis secondary period symptoms resemble psoriasis sometimes and called as psoriasiform plaques. Pityriasis alba is a common cutaneous disorder characterized by asymptomatic hypopigmented patches, usually on the face, neck, upper trunk, and proximal extremities. Pdf pityriasis alba is a common cutaneous disorder characterized by asymptomatic hypopigmented patches on the face, neck, trunk and. Figure 1 from pityriasis alba versus vitiligo clinical and. Most patients have a history of atopy, and pityriasis alba may be a minor manifestation of atopic dermatitis. Alba is a relatively common skin disorder characterized by the presence of fine scaly hypo pigmented macules or patches. Histological examination revealed features of pigmenting pityriasis alba. No clinical clues to differentiate between extrinsic atopic dermatitis ead and intrinsic atopic dermatitis iad.
Kelainan ini terlihat sebagai bercakbercak berwarnawarni. May 30, 2008 pityriasis rosea pr, an acute illness marked by a papulosquamous eruption, mainly affects children and young adults. This article discusses clinical features of each condition, updated and novel treatments. However, nonatopic individuals are also known to have this disease. Pityriasis alba pa is a frequent cause of consultation in tropical areas due to its chronic course, frequent relapses, and notorious hypopigmented lesions in pediatric dark skin populations. Pityriasis alba is a skin condition, a type of dermatitis, commonly seen in children and young adults as dry, finescaled, pale patches on the face. Abdulkadhim, journal journal of cosmetics, dermatological sciences and applications, year2018, volume08. Clinically, the spots of pityriasis alba are offwhite in color, round with poorly defined margins that bear scanty fine scales on it. We present a 10yearold saudi girl with multiple hypopigmented scaly patches with central bluish hyperpigmentation over the face of one year duration. Tell the interpreter the name or extension you need. Pdf infantile pityriasis alba and comorbid disorders semantic. Pityriasis alba to learn more dermatology 2069872158 ask your childs healthcare provider free interpreter services in the hospital, ask your nurse. Pityriasis alba pityriasis alba is a common skin problem that otherwise healthy individuals can develop.
Jan 01, 2012 pigmenting pityriasis alba is a rare variant of pityriasis alba. Thirty eight patients with pityriasis alba group a and twenty eight patients with vitiligo group b and twelve patients with both pityriasis alba and vitiligo in the same patient group c were included in this study. Pityriasis alba is an extremely common condition in children 316 years of age consisting of illdefined, cm circular or oval patches, sometimes with a fine scale. To compare presence of pityriasis alba pa in patients with extrinsic and intrinsic type of ad. Pityriasis lichenoides is an uncommon disease of the skin that can present in three different forms. A condition with possibly multiple etiologies craig g. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances. Pityriasis alba pa is a frequent cause of consultation in tropical areas due to its chronic course, frequent relapses, and notorious hypopigmented.
Pityriasis alba pa is a benign inflammatory dermatosis affecting about 5% of pediatric population 1, 2. Pityriasis alba is a common cutaneous disorder characterized by asymptomatic hypopigmented patches on the face, neck, trunk and proximal extremities of. Some studies implicate a viral cause, especially a primary or reactivated infection with human herpes viruses hhvs 6 and 7, but the evidence is inconclusive. Its most frequently seen in children between the ages of 6 and 12 years.
The presence of atopy signs was more common in pityriasis patients p 0. It is more often detected in individuals with a darker complexion but may occur in. Pityriasis alba pa is a common disease of children and. Pityriasis alba is common worldwide with a prevalence in children of around 5%. It is selflimiting and usually only requires use of moisturizer creams the condition is so named for the fine scaly appearance initially present, and alba latin for white refers to the pallor of the patches that develop. Regular use of fragrance free moisturizers is the best way to prevent pityriasis alba. Pityriasis alba is a common skin condition causing hypopigmented facial patches in children and occasionally young adults.
From outside the hospital, call the tollfree family interpreting line, 18665831527. It is regarded as a manifestation of atopic dermatitis. Open access journals online scientific, academic journals. Abstract although pityriasis alba is a common dermatologic condition, its pathogenesis is poorly understood, and there are many discrepancies in the literature. Kelainan ini terlihat sebagai bercakbercak berwarnawarni, bentuk tidak teratur sampai. The word pityriasis means spots, and the word alba means white. It is strongly associated with atopy, with a prevalence in the general population of 1%, but up to 32% in atopic individuals. Il4 and ige were measured in 85 patients serum with enzyme linked immune sorbent assay elisa. The individual hypopigmented patches in epa are identical to those of classic pa, except that they are usually not preceded by erythema and tend to be more persistent.
Sometimes steroid creams for the skin are used to treat more severe forms of the condition. Dec 15, 2017 vitiligo, pityriasis alba, tinea versicolor, and postinflammatory effect are common causes of pigment loss. However, it may persist for a few years, and may come and go during this period, particularly in summer when the patches become more prominent due to the tanning of nonaffected skin. Pityriasis alba is a benign and very common, selfresolving, eczematous mild dermatitis rash that most commonly affects children and young adults. Comparative study for the reliability of cellophane tape and. It is selflimiting and usually only requires use of moisturizer creams. Pigmenting pityriasis alba is a rare variant of pityriasis alba. Burkhart2 1university of toledo college of medicine, usa 2university of north carolina at chapel hill, chapel hill, north carolina, usa abstract. Srpe yr p dt skills hypopigmented lesions on an 11yearolds. Pityriasis alba is a common hypomelanosis which is generally seen.
Although it has a worldwide distribution, it is frequently seen in tropical areas of the world. There are two types of pa, the endemic, affecting infants. Xerosis also appears to be a risk factor, and frequent bathing and hot water temperatures may exacerbate. Pityriasis alba usually resolves spontaneously, and the skin colour gradually returns back to normal with no scarring. Doubleblind, placebocontrolled, randomized study comparing. Dermatophyte infection abstract pigmenting pityriasis alba is a rare variant of pityriasis alba. Pdf infantile pityriasis alba and comorbid disorders researchgate. These three forms represent a spectrum of disease presentation. It is more noticeable in people with skin of colour pigmented skin. Pityriasis alba is most common in children and adolescents. Histological examination revealed features of pigmenting pityriasis. Gambaran klinis kelainan kulit pityriasis versicolor sangat superfisial dan ditemukan terutama di badan.
The objective of this study was to assess the possible aetiopathogenic factors of this disease in infants. This article discusses clinical features of each condition, updated and. The condition occurs almost exclusively in children. Although pityriasis alba is a common dermatologic condition, its pathogenesis is poorly understood, and there are many discrepancies in the literature. The condition tends to be more common in dry winter months, however the patches may be more noticeable in summer when the surrounding skin is tanned and the colour difference between the whitish patches and the tanned skin is more obvious. For years articles and reports of cases have appeared in dermatologic journals and texts describing superficial, scaling, nummular lesions with residual hypopigmentation, occurring principally on the faces of children. Srpe yr p dt skills hypopigmented lesions on an 11year. Tinea pedis sometimes resembles psoriasis but psoriatic plaques are. Pityriasis alba is a common skin complaint of children and young adults. Cultures of scrapings from 68 lesions grew common skin contaminants except in three cases where trichophyton spadix was isolated.
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