Once its gone, you likely wont develop it again. doi: 10.7759/cureus.27108. See this image and copyright information in PMC. Pityriasis rosea after administration of Pfizer-BioNTech COVID-19 vaccine. "However, it's possible to develop the rash more than once," she says. However, if you scratch your patches, you may break your skin, leading to an infection that can cause pain. Additional evidence that pityriasis rosea is associated with reactivation of human herpesvirus-6 and -7. Drug-induced PR-like eruption accounts for 2% of all cutaneous adverse drug reactions (10). One week before the rash, respiratory tract infection symptomatology was observed by the patient. Pityriasis Rosea Associated With COVID-19 Vaccination: A Common Rash Following Administration of a Novel Vaccine. Washrawirul C, Triwatcharikorn J, Phannajit J, Ullman M, Susantitaphong P, Rerknimitr P. J Eur Acad Dermatol Venereol. Pityriasis Rosea Associated With COVID-19 Vaccination: A Common Rash Following Administration of a Novel Vaccine. However, pityriasis rosea can look similar to other skin conditions, including: If theres any doubt, your healthcare provider may perform the following tests: In most cases, pityriasis rosea goes away without any treatment in six to eight weeks. Pityriasis rosea and ringworm look similar. Keywords: adverse effect, coronavirus, cutaneous eruptions, immunization, pityriasis rosea, SARS-CoV-2, vaccine, case report, Citation: Leerunyakul K, Pakornphadungsit K and Suchonwanit P (2021) Case Report: Pityriasis Rosea-Like Eruption Following COVID-19 Vaccination. Got an extremely itchy rash that came seemingly out of nowhere? and transmitted securely. 2021 Sep;35 (9):e546-e548. Bookshelf J Am Acad Dermatol. But some patients also are developing delayed skin reactions on. Oily fish, such as mackerel, salmon or sardines. FOIA National Library of Medicine doi: 10.1111/jdv.17342, 5. 2022 Nov 6;15:2369-2382. doi: 10.2147/CCID.S388245. Skin lesions appeared in a 49-year-old female 8 days after the first dose of the BNT162b2 mRNA vaccine and in a 53-year-old male 7 days after the second dose of the same vaccine. As King notes, there have been some reported cases of pityriasis rosea occurring in patients after receiving certain vaccines, like the flu shot. and transmitted securely. J Eur Acad Dermatol Venereol. The authors of one 2014 case report of a 71-year-old man who suffered from pityriasis rosea one month after receiving an influenza vaccine concluded that "altered immunity" could result in reactivation of HHV-6 and/or HHV-7 which may have triggered an atypical presentation of PR. Recurrent and persistent pityriasis rosea: an atypical case presentation. Please enable it to take advantage of the complete set of features! Urbina F, Das A, Sudy E. Clinical variants of pityriasis rosea. Pityriasis Rosea. official website and that any information you provide is encrypted Cyrenne BM, Al-Mohammedi F, DeKoven JG, Alhusayen R. Pityriasis rosea-like eruptions following vaccination with BNT162b2 mRNA COVID-19 vaccine. Cutaneous Reactions Following COVID-19 Vaccination: A Review of the Current Literature. doi: 10.1111/dth.15040, 3. Cutaneous reactions reported after Moderna and Pfizer COVID-19 vaccination: A registry-based study of 414 cases. The authors have no conflicts of interests to disclose. Epub 2021 May 29. 2021 Dec;108(6):317-318. doi: 10.12788/cutis.0411. J Formos Med Assoc. See this image and copyright information in PMC. The authors suggest more research is necessary. and transmitted securely. Children often get infected when someone sneezes or kisses them. The cause of pityriasis rosea is not known, but it is commonly believed to be caused by a virus or bacteria. Department of Dermatology, Graduate School of Medicine, Kyusyu University, Japan. Int J Dermatol. The symptoms of pityriasis rosea usually develop in stages: Pityriasis rosea doesnt hurt. 2022 Sep-Oct;40(5):586-590. doi: 10.1016/j.clindermatol.2022.01.002. In some cases, central hyperpigmentation was identified. Kroumpouzos G, Paroikaki ME, Yumeen S, Bhargava S, Mylonakis E. Microorganisms. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. doi: 10.1111/jdv.12942, 13. 2021;35(9):e546e548. However, in cases of atypical PR, it may present with erythema multiforme-like lesions and purpura (5). Despite this rare complication, our report highlights that the presence of PR-like eruption is not a contraindication for subsequent vaccinations. government site. J Eur Acad Dermatol Venereol. Drago F, Ciccarese G, Parodi A. Pityriasis rosea and pityriasis rosea-like eruptions: How to distinguish them? At first, I thought it could be a fungal infection like ringworm, a common misdiagnosis, says Hartman, but my dermatologist ruled that out when I mentioned the additional spots erupting on my back via our video chat. Fried foods, including many fast-food items. 78 PDF Pityriasis rosea following CoronaVac COVID19 vaccination: a case report Elin Akda, N. Ilter, B. t, . Erdem Pityriasis Rosea as a Possible Complication of Vaccination Against COVID-19. 2021 Jul;85(1):46-55. doi: 10.1016/j.jaad.2021.03.092. Welsh E, Cardenas-de la Garza JA, Cuellar-Barboza A, et al. Before Unable to load your collection due to an error, Unable to load your delegates due to an error. doi: 10.1111/jdv.17498. In darker-skinned or Black people, the patches may be more raised (papular), and the centers of the patches may look like the tissue is dying (necrotic). Cutis. Those ensuing spots like the circle of dots that erupted on my back a day after the initial raised welt appeared typically resemble a Christmas tree-like formation. The patient had a positive RT-PCR result, and was confirmed with SARS-CoV-2 infection. Pityriasis rosea is a benign inflammatory rash that starts with a single red rash, also known as the "herald patch," which eventually gives way to a larger, similar-looking rash on the trunk within days or weeks, says dermatologist Corey L. Hartman, founder of Skin Wellness Dermatology in Birmingham, Alabama. How can you tell that I have pityriasis rosea? doi: 10.1111/ijd.15700, 4. McMahon DE, Amerson E, Rosenbach M, Lipoff JB, Moustafa D, Tyagi A, et al. eCollection 2022 Jul. However, several adverse effects of COVID-19 vaccination have been identified. Br J Dermatol. Appointments 216.444.5725 Appointments & Locations Request an Appointment Few brownish patches also appeared, suggestive of post-inflammatory hyperpigmentation. ", The 29 Best Valentines Day Gifts for the Men in Your Life. eCollection 2022. Some research shows that people who follow a Mediterranean diet have lower levels of inflammation in their bodies. official website and that any information you provide is encrypted It may appear on any part of your body, but it usually appears on the trunk (torso), arms and legs. . | Pityriasis Rosea, COVID-19 and . doi: 10.1111/dth.13730. 2021;184(6):11941195. Lastly, Hartman says PR can present differently in patients with darker skin: "The characteristic erythematous plaques may appear more hyperpigmented or violaceous in darker skin types. If I dont have pityriasis rosea, what other skin condition might I have? Atzori L, Pinna AL, Ferreli C, Aste N. Pityriasis rosea-like adverse reaction: review of the literature and experience of an Italian drug-surveillance center. And the itch usually only lasts for a few days mine finally let up around day seven but the rash can leave behind dark marks that eventually resolve on their own, Lam says. Global prevalence and clinical manifestations of cutaneous adverse reactions following COVID-19 vaccination: A systematic review and meta-analysis. Dermatol Ther. Accessibility Some treatments can alleviate related symptoms, including itching. 2021 Sep;60(9):1150-1151.doi: 10.1111/ijd.15700. This tiny glimpse of her natural texture is thrilling. Accessibility Another skin condition identified in the study were "vesicular eruptions" seen in 9 per cent of cases. and transmitted securely. Although histopathologic characteristics of PR are also observed in PR-like lesions, the presence of dyskeratotic keratinocytes, interface dermatitis, and eosinophilic infiltration in the dermis may be more prominent in PR-like eruptions (11). Studies show that some skin conditions may appear with COVID-19, including pityriasis rosea. The site is secure. Blood tests to check for causes of a rash that arent related to pityriasis rosea. sharing sensitive information, make sure youre on a federal government site. Clinical findings of pityriasis rosealike eruption in the patients. Martora F, Battista T, Marasca C, Genco L, Fabbrocini G, Potestio L. Clin Cosmet Investig Dermatol. Front. A variant called inverse pityriasis rosea can affect the skin on your neck, face, armpits (axillae) and groin, though it isnt common. Adya KA, Inamadar AC, Albadri W. Post Covid-19 vaccination papulovesicular pityriasis rosea-like eruption in a young male. Would you like email updates of new search results? Clinical findings of pityriasis rosealike, Clinical findings of pityriasis rosealike eruption in the patients. Epub 2022 Jun 26. Due to the temporal relationship between vaccination and onset of rash, COVID-19 vaccination was the most likely etiology. Epub 2022 Jun 21. Dermatol Ther. We present the case of a female patient in whom the diagnosis of pityriasis rosea led to the investigation and diagnosis of the SARS-CoV-2 infection. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). While annoyingly itchy, the rash does not cause any serious long-term side effects and is not contagious, unlike the diseases these vaccines protect against. Int J Infect Dis. The patient presented to the Department of Dermatology for a 3 week duration of an extremely pruritic erythematous-squamous lesion, initially on the trunk and upper limbs, with extension to the lower limbs in the last week and the lesion respected the cephalic extremity, palms, and soles. -. 2022 Jun;7:164-168. doi: 10.1016/j.jdin.2022.01.009. Cutis. Ad Choices. (2021) 85:4655. Pityriasis lichenoides has distinct acute and chronic forms, which are usually distinct . (2017) 5:20311. J Invest Dermatol. It has been reported that pityriasis rosea has been triggered by several vaccines, as a rare side-effect. COVID-19-associated pityriasis rosea in children: Case report and literature review. 2021;185(2):e34. Pityriasis rosea-like eruptions following vaccination with BNT162b2 mRNA COVID-19 Vaccine. Theyre both papulosquoamous (pap-you-lo-skway-miss) disorders, which is a term used to characterize skin disorders according to the presence of raised, discolored, scaly patches of skin. Epub 2021 Nov 2. eCollection 2022 Jul. 2022 Jun;7:164-168. doi: 10.1016/j.jdin.2022.01.009. Figure 1. While my particular flare-up itched a lot, that's not always the case. Drago F, Ciccarese G, Javor S, Parodi A. Vaccine-induced pityriasis rosea and pityriasis rosea-like eruptions: a review of the literature. A 52-year-old Thai woman with a one-year history of recurrent glioblastoma was admitted to our hospital for a planned targeted therapy. Epub 2022 Jan 31. doi: 10.1111/dth.13878, 10. COVID-19; Vaccination; pityriasis rosea. Use of this site constitutes acceptance of our Martora F, Battista T, Marasca C, Genco L, Fabbrocini G, Potestio L. Clin Cosmet Investig Dermatol. Pityriasis rosea-like Covid-arm Erythema multiforme Erythroderma Psoriasis Others Grover-like eruptions Herpes simplex reactivation: 24 1 17 4 2 2 1 1 20 15 9 5 2 1 1 1 3 3: 21.5 0.9 15 3.5 1.8 1.8 0.9 0.9 eCollection 2022. 2022 Oct;49(10):948-956. doi: 10.1111/1346-8138.16482. sharing sensitive information, make sure youre on a federal Conflicts of Interests: The authors declare there are no competing interests. It is usually seen in children, adolescents, and young adults. Bethesda, MD 20894, Web Policies Temiz SA, Abdelmaksoud A, Dursun R, Durmaz K, Sadoughifar R, Hasan A. J Cosmet Dermatol. (a) Patient 1: Thin, Histopathological findings of pityriasis rosealike, Histopathological findings of pityriasis rosealike eruption in patient 1. Authors Elina Khattab 1 , Eirini Christaki 2 , Constantinos Pitsios 1 Affiliations 1 Medical School, University of Cyprus, Nicosia, Cyprus. 2022 Nov 1;43(6):555-558. doi: 10.2500/aap.2022.43.220058. (Within two days, and still no.) doi: 10.1111/dth.13650, 7. Get many smaller patches or bumps on your skin. It is likely that a new viral trigger of pityriasis rosea is the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Pityriasis rosea-like eruption revealing COVID-19. Pityriasis Rosea According to the Mayo Clinic, pityriasis rosea is a rash that usually begins as a large circular or oval spot on your chest, abdomen, or back. Rashes should be considered a "key diagnostic sign" of Covid-19, according to a study, which found 8% of people who test positive for the virus have some form of rash. -, Polack FP, Thomas SJ, Kitchin N et al. What started as a single, quarter-inch raised welt on my left rib cage eventually morphed into two, then four. Bethesda, MD 20894, Web Policies However, several adverse effects of COVID-19 vaccination have been identified. This site needs JavaScript to work properly. Numerous scattered erythematous plaques with fine scale oriented along skin cleavage, Herald patch of pityriasis rosea. However, adverse effects to COVID-19 vaccines, particularly cutaneous reactions, have been reported. 2021 Aug;35(8):e491-e493. Pityriasis rosea (pih-tuh-RY-uh-sis ROH-zee-uh) is a common skin condition that causes patches of your skin to develop raised, scaly rashes. "And it has a particular [dermatomal] distribution because it's along a nerve," which also presents as fluid-filled blisters, rather than lesions. Pityriasis Rosea Associated With COVID-19 Vaccination: A Common Rash Following Administration of a Novel Vaccine. Pearls and pitfalls: Adverse cutaneous reactions after COVID-19 vaccination. Dermatology. Cutaneous Complications of mRNA and AZD1222 COVID-19 Vaccines: A Worldwide Review. Cured meats with nitrates, such as hot dogs. However, the studies dont conclusively prove that COVID-19 causes pityriasis rosea. 2021 Dec;108(6):317-318. doi: 10.12788/cutis.0411. Dermatologic side effects of COVID-19 vaccines range from morbilliform rash and pernio to pityriasis rosea and erythema multiforme. Please enable it to take advantage of the complete set of features! The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The study said the appearance was similar to pityriasis rosea, a common skin condition. Pityriasis rosea (PR) is an acute papulosquamous cutaneous disorder that classically presents with a herald patch rapidly followed by a widespread rash along skin cleavage lines. Br J Dermatol.
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