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PITYRIASIS

Pityriasis is a term used to describe a group of skin conditions characterized by scaly rashes. The name "pityriasis" comes from the Greek word "pityron," which means bran, referring to the fine, flaky scales that appear on the skin. These conditions vary in their causes, manifestations, and treatments, but they share a common feature of superficial scaling on the skin. Some of the most common forms of pityriasis include Pityriasis Rosea, Pityriasis Alba, and Pityriasis Versicolor.

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TYPES OF PITYRIASIS

Scabies are caused by the Sarcoptes scabies mite, which is an obligate human parasite, meaning it requires a human host to survive. The mites are tiny, measuring only about 0.3–0.4 millimetres, making them barely visible to the naked eye.

Pityriasis Rosea:

  • Description: Pityriasis Rosea is a common, self-limiting skin condition that typically presents as a large, single pink or salmon-coloured patch known as the "herald patch." This is followed by the appearance of smaller patches that spread in a Christmas tree pattern on the trunk and limbs.

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  • Causes: The exact cause of Pityriasis Rosea is unknown, but it is believed to be associated with viral infections, particularly human herpesviruses 6 and 7. It is not considered contagious.

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  • Symptoms: The condition starts with a single large patch, followed by smaller, oval-shaped lesions with a raised, scaly border. Mild itching may accompany the rash.

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  • Duration: The rash typically resolves on its own within 6 to 8 weeks, though in some cases, it can last longer.

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  • Treatment: Pityriasis Rosea usually does not require treatment as it is self-limiting. However, treatments to relieve itching, such as antihistamines, topical steroids, or calamine lotion, may be recommended. In severe cases, phototherapy may be used.

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Pityriasis Alba:

  • Description: Pityriasis Alba is a common skin condition, especially in children and young adults, characterized by the appearance of round or oval, pale, slightly scaly patches on the face, neck, arms, or torso.

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  • Causes: The exact cause of Pityriasis Alba is unknown, but it is often associated with eczema and is thought to be related to skin dryness and inflammation.

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  • Symptoms: The condition begins with slightly red, scaly patches that eventually fade to leave lighter-coloured, hypopigmented areas. The patches are usually asymptomatic but may be mildly itchy.

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  • Duration: Pityriasis Alba may persist for several months to a few years. The hypopigmented patches gradually return to normal skin colour over time.

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  • Treatment: Treatment is usually not necessary as the condition is benign and self-resolving. Moisturizers, gentle skin care products, and topical steroids can help improve the appearance and speed up the resolution of the patches.

    Pityriasis Versicolor (Tinea Versicolor)

  • Description: Pityriasis Versicolor, also known as Tinea Versicolor, is a fungal infection of the skin caused by an overgrowth of yeast from the genus Malassezia. It leads to the development of discoloured patches on the skin.

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  • Causes: The condition is caused by the overgrowth of Malassezia yeast, which is normally present on human skin. Factors that contribute to this overgrowth include hot and humid weather, oily skin, hormonal changes, and a weakened immune system.

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  • Symptoms: Pityriasis Versicolor presents as patches of skin that are lighter or darker than the surrounding skin. These patches may be white, pink, tan, or brown and are often accompanied by mild itching and scaling. The affected areas are commonly found on the trunk, neck, and upper arms.

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  • Duration: The condition may persist for months or longer if untreated, but it is not permanent. The skin colour usually returns to normal once the infection is treated, though it may take several weeks for pigmentation to normalize.

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  • Treatment: Treatment options include topical antifungal medications such as ketoconazole, selenium sulfide, or clotrimazole. In more severe or widespread cases, oral antifungal medications like fluconazole or itraconazole may be prescribed. Recurrence is common, so preventive measures, including the regular use of antifungal shampoos or lotions, may be recommended.

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PREVENTION OF SCABIES

Preventing pityriasis involves general skin care measures and specific strategies depending on the type of pityriasis.

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  • General Skin Care: Regular use of moisturizers and avoiding harsh soaps can help maintain skin barrier function and prevent conditions like Pityriasis Alba.

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  • Managing Risk Factors: For Pityriasis Versicolor, preventive measures include the regular use of antifungal shampoos or lotions, particularly in warm, humid climates or in individuals prone to recurrent infections.

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  • Avoidance of Triggers: Identifying and avoiding factors that may trigger or worsen pityriasis, such as excessive sun exposure or certain skin care products, can help manage and prevent these conditions.

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ACNE

Acne is one of the most common dermatological conditions, affecting millions of people worldwide. 

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TINEA INFECTION

Tinea infections, commonly referred to as ringworm, are a group of fungal infections affecting the skin, hair, or nails.

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DERMATITIS

Dermatitis is a broad term that refers to inflammation of the skin, characterized by redness, swelling, and irritation. 

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DERMATOPHYTOSIS

Dermatophytosis, commonly known as ringworm, is a superficial fungal infection that affects the skin, hair, and nails. 

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URTICARIA

Urticaria, commonly known as hives, is a skin condition characterized by the sudden appearance of raised, itchy welts or wheals on the skin's surface.

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PRURITUS

Pruritus, commonly known as itching, is an uncomfortable and often distressing sensation that provokes the urge to scratch.

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SCABIES

Scabies is a highly contagious skin condition caused by the infestation of the skin by the microscopic mite Sarcoptes scabiei var. hominis. 

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TINEA CRURIS

Tinea Cruris, commonly known as "jock itch," is a fungal infection affecting the groin area, inner thighs, and buttocks.

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POST-INFLAMATORY HYPERPIGMENTATION (PIH)

Post-inflammatory hyperpigmentation (PIH) is a common dermatological condition characterized by the darkening of the skin following inflammation or injury.

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