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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pityriasis Rosea. Herald Patches. Mild Myeloproliferative. Taking Anagrelide. Why Is It Recurring?

I am a retired 78 year old pediatrician- retired since 1996. In the last 5 to 8 years I have had typical recurring cases of Pityriasis rosea for at least 6 or 7 times. The herald patches have typically appeared on my thighs, although at present it is on the medial aspect of the right tibia. patch has been there at least 6 or 8 weeks. I have typical linear paralleling elvated pale lesions on the trunk and most pruritis is over the cold surface of upper arms and on the legs. I have always felt that the disease is viral and I cannot understand why I have recurrences, unless it is one of the Herpes group which is prone to recur. I have a mild myeloproliferative disorder with thrombocytosis. platelet counts were up to 1.5 million until treatment started with anagrelide. The pityriasis began before that problem. Dermatologists here cannot confirm this, but I am positive of my diagnoses. Thanks. W.G. Beauregard, M.D. West Monroe , LA 0000
posted on Sat, 13 Apr 2013
Twitter Sat, 25 May 2013 Answered on
Twitter Mon, 27 May 2013 Last reviewed on
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Psychiatrist,  's  Response
Hi there ~

I understand your concerns. I think that pityriasis rose herald patches are easily diagnosed and treated. However you might need to visit with a dermatologist for the right medications. I also think that you are excessively focusing on the blood picture and the mild myelo proliferative disorder with thrombocytosis might not have any meaning in the real clinical sense. However, if you feel like there is, there is nothing wrong in visiting with an oncologist that is specialized in blood disorders.

Take care and have a lovely day!
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Pityriasis Rosea. Herald Patches. Mild Myeloproliferative. Taking Anagrelide. Why Is It Recurring?

Hi there ~ I understand your concerns. I think that pityriasis rose herald patches are easily diagnosed and treated. However you might need to visit with a dermatologist for the right medications. I also think that you are excessively focusing on the blood picture and the mild myelo proliferative disorder with thrombocytosis might not have any meaning in the real clinical sense. However, if you feel like there is, there is nothing wrong in visiting with an oncologist that is specialized in blood disorders. Take care and have a lovely day!