Pityriasis rosea has many names in medicine. It is called peeling roseola, Gibert's disease, pityriasis pink. The disease belongs to the infectious-allergic category of dermatoses, is of an acute inflammatory nature with the appearance of spotty, papular, erythematous-squamous foci. They are located mainly on the body and on the surface of the limbs. The most common diagnosis of pink lichen Gibert is diagnosed in women between the ages of 20 and 40, as well as in adolescents. In other age categories of people, the disease is extremely rare. The peak of complaints occurs in spring and autumn during the spread of acute respiratory diseases.
Diagnosis of pink lichen Gibert
In typical clinical cases of pink lichen of Zhibert, a dermatologist's examination and dermatoscopy are sufficient for diagnosis. In cases where the rash of pink lichen of Gibert persists for more than 6 weeks, a skin biopsy is taken and its histological examination is performed to exclude parapsoriasis. In case of infectious complications, a scraping or discharge from the lesion is taken and its bacterial culture is performed.
For the differential diagnosis of pink lichen of Zhibert from pityriasis versicolor, fluorescent diagnostics and examination of skin scrapings for pathogenic fungi are performed. The manifestations of lichen pink may be similar to secondary syphilis. In such cases, an RPR test for syphilis is performed to exclude the latter.
Treatment of pink lichen of Gibert
Gibert's pink lichen, in most cases, goes away on its own and may not need treatment. In order to avoid complications, patients are advised to adhere to a hypoallergenic diet during the illness, limit water procedures, exclude friction of the skin with a washcloth, avoid the use of body cosmetics, and wear only cotton underwear.
With severe itching, antihistamines are prescribed by mouth, corticosteroid and antipruritic ointments are prescribed externally. Apply indifferent water-shaken external agents (zinc oxide). According to some dermatological studies, a good effect on pink lichen of Zhiber is given by the use of erythromycin and acyclovir from the first days of the disease. This treatment promotes faster recovery without complications.