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What Causes Recurrent Pitryasis Rosea?
Question: hii .. recurrent pitryasis rosea is my problem .. since january 2013 , I have had PR several times .. my dermatologist has prescribed trimop forte 25mg n sun exposure for 4-5 months .. m I on d right treatment ? also can I plan pregnancy wen I am at it ?
Brief Answer:
avoid pregnancy when on trimop
Detailed Answer:
Hi,
Thanks for writing to us.
We usually treat P rosea symptomatically with Oral antihistamines, topical calamine and topical steroid. If refractory to treatment or recurrent, oral steroids, Narrowband UVB phototherapy and photochemotherapy or PUVASOL can be tried. Oral intake of trimop followed by sun exposure is PUVASOL therapy. Out of these, steroids and Narrowband UVB is much safer.
When on trimop or psoralen pregnancy is contraindicated. Narrowband UVB is safe in pregnancy and steroids too can be prescribed in pregnancy for short while if required.
To comment further, I would appreciate if you could upload pics of the lesions.
Also I would like to know the areas affected with P rosea.
Fungal infection, psoriasis, syphilis are few diseases which can have P rosea like lesions and should be ruled out.
Hoping to hear from you soon.
Take care
avoid pregnancy when on trimop
Detailed Answer:
Hi,
Thanks for writing to us.
We usually treat P rosea symptomatically with Oral antihistamines, topical calamine and topical steroid. If refractory to treatment or recurrent, oral steroids, Narrowband UVB phototherapy and photochemotherapy or PUVASOL can be tried. Oral intake of trimop followed by sun exposure is PUVASOL therapy. Out of these, steroids and Narrowband UVB is much safer.
When on trimop or psoralen pregnancy is contraindicated. Narrowband UVB is safe in pregnancy and steroids too can be prescribed in pregnancy for short while if required.
To comment further, I would appreciate if you could upload pics of the lesions.
Also I would like to know the areas affected with P rosea.
Fungal infection, psoriasis, syphilis are few diseases which can have P rosea like lesions and should be ruled out.
Hoping to hear from you soon.
Take care
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hii .. Wen it started , I had it on d entire body .. As of now , I have it on hands and legs ..
Do u suggest I discontinue trimop nd bzon forte ?
Also I am quite keen to concieve soon ..
What's ur opinion ?
I surely will upload d pics .. How do I do it ?
Do u suggest I discontinue trimop nd bzon forte ?
Also I am quite keen to concieve soon ..
What's ur opinion ?
I surely will upload d pics .. How do I do it ?
Brief Answer:
details below
Detailed Answer:
Hi,
Pityriasis rosea as such is a self limiting condition. Also your lesions are not too many. In such cases, I would have gone with topical steroid lotion like mometasone and calamine lotion.
Having said this, if the lesions were numerous previously and with Trimop and sun exposure are subsiding then there is no harm in continuing it for few more weeks. Once the lesions have resolved, you may discontinue drugs and plan pregnancy.
Even with trimop and sun exposure, I would advise that you use a steroid lotion for faster results..
Hope this helped.
Take care
details below
Detailed Answer:
Hi,
Pityriasis rosea as such is a self limiting condition. Also your lesions are not too many. In such cases, I would have gone with topical steroid lotion like mometasone and calamine lotion.
Having said this, if the lesions were numerous previously and with Trimop and sun exposure are subsiding then there is no harm in continuing it for few more weeks. Once the lesions have resolved, you may discontinue drugs and plan pregnancy.
Even with trimop and sun exposure, I would advise that you use a steroid lotion for faster results..
Hope this helped.
Take care
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hi.. thank u soo much ..
u confirm that it is pr ?
I would like to inform u that weneva it occurs , the intensity is d same on hands, on inner thighs though, itis much more ..
also, i m on trimop forte(3 tabz a week) n bzon forte (daily)since feb 11 .. Now that v have started talking bzon alternate days , it had occurred with d same intensity like it used to b before starting d treatment ..
That made me wonder what should I do !
pls give ur opinion ? Should I continue d medications ? If yes, till wen ? if no , calamine n suggest a good stetoid Lotion ..
if I get d lensions during pregnancy , den what shall I do ?
Also I would like to inform u that d lensions occur mostly wen I have a throat infection. .
thank u
u confirm that it is pr ?
I would like to inform u that weneva it occurs , the intensity is d same on hands, on inner thighs though, itis much more ..
also, i m on trimop forte(3 tabz a week) n bzon forte (daily)since feb 11 .. Now that v have started talking bzon alternate days , it had occurred with d same intensity like it used to b before starting d treatment ..
That made me wonder what should I do !
pls give ur opinion ? Should I continue d medications ? If yes, till wen ? if no , calamine n suggest a good stetoid Lotion ..
if I get d lensions during pregnancy , den what shall I do ?
Also I would like to inform u that d lensions occur mostly wen I have a throat infection. .
thank u
Brief Answer:
details below
Detailed Answer:
Hi,
Thanks for writing to us.
For limited lesions, personally i would have gone with calamine lotion and steroid lotion like mometasone twice in a day. Also if lesions are itchy, one can take tablet cetirizine. All these medicines are safe in pregnancy. So if there is a recurrence in pregnancy, you may use these medicines. If the lesions are causing you stress due to frequent recurrence, I would have preferred narrow band UVB for safety issues. Also Oral erythromycin in four divided doses is considered to be effective in P rosea. I think, you can talk to your doctor about your concern regarding trimop and pregnancy. Sore throat is found to precede P rosea in many cases. However recurrent disease is only seen in 2 percent of cases.
To confirm the diagnosis, I want you to upload a clear resolution image of the lesions. Please do the same, so that i can confirm the diagnosis.'
Regards
details below
Detailed Answer:
Hi,
Thanks for writing to us.
For limited lesions, personally i would have gone with calamine lotion and steroid lotion like mometasone twice in a day. Also if lesions are itchy, one can take tablet cetirizine. All these medicines are safe in pregnancy. So if there is a recurrence in pregnancy, you may use these medicines. If the lesions are causing you stress due to frequent recurrence, I would have preferred narrow band UVB for safety issues. Also Oral erythromycin in four divided doses is considered to be effective in P rosea. I think, you can talk to your doctor about your concern regarding trimop and pregnancy. Sore throat is found to precede P rosea in many cases. However recurrent disease is only seen in 2 percent of cases.
To confirm the diagnosis, I want you to upload a clear resolution image of the lesions. Please do the same, so that i can confirm the diagnosis.'
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank u soo much mam .. Pls check d pic
Brief Answer:
looks like P rosea
Detailed Answer:
Hi,
Apologies for delayed response.
The lesions look like P rosea.
I think you can talk to your consulting doctors regarding your reservation about trimop and pregnancy.
Hope this helped.
Take care
looks like P rosea
Detailed Answer:
Hi,
Apologies for delayed response.
The lesions look like P rosea.
I think you can talk to your consulting doctors regarding your reservation about trimop and pregnancy.
Hope this helped.
Take care
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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