29/F came in for consult due to pruritic rashes. Symptoms started 4 days prior as a flat, pruritic erythematous rash on her abdomen. She claims that the rash expanded in a span of a few days along with eruption of new rashes of similar morphology on the rest of her abdomen, back, nape, arms and thighs. There was a history of an undocumented one-day fever days prior the appearance of the first rash. There were no joint pains, no intake of any medications or drugs. Relatives of close contact do not exhibit the rashes. She has no known allergies. On examination, rashes are maculopapular to patchy with occasional papulosquamous reaction. Any idea what could the diagnosis be? Was thinking of PR or Guttate Psioriasis.

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Dr. Rajesh Kumar, The morphology of the lesion appears maculopapular (centrally and peripherally distributed), petechial, diffusely erythematous with desquamation, Probable l causes include viruses, bacteria, spirochetes, rickettsiae, medications and rheumatologic diseases. A thorough history and a careful physical examination are essential to making a correct diagnosis. Laboratory studies can be useful in confirming the diagnosis. Test results often are not available immediately. So severity of these illnesses can vary from minor (roseola) to life-threatening (meningococcemia), prompt management, Hospitalization, isolation and antimicrobial therapy often must be considered when a patient presents with fever with rash.... First line treatment must be empirical like antihistamines fexofenadine 180 mg daily night orally, followed by calamine soothing lotion. After receiving the investigations report, then finalize the diagnosis and follow accordingly.

Thank you sir
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Maculopapular lesions changing their morphology at places presenting silvery desquamation suggest it is a c/o guttate psoriasis. I agree with you

Thank you sir
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P. Rosea. But generally it's non pruritic or mildly pruritic

Thanks mam
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Its pityriasis rosea, there is collarate scale over lesion

Thank you sir
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Pityriasis rosea

Thanks Dr Dinesh Gupta
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Pityriasis rosea

Pityriasis rosea

Pityriasis Rosea

Thnaks mam
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Classical case of pityriasis rosea

Management?..
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POSSIBLY PITYRIASIS ROSEA

Thank you sir
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