(a) Patient 1: Thin, Histopathological findings of pityriasis rosealike, Histopathological findings of pityriasis rosealike eruption in patient 1. Med Clin (Barc). Bethesda, MD 20894, Web Policies Skin lesions appeared in a 49-year-old female 8 days after the first dose of the BNT162b2 mRNA vaccine and in a 53-year-old male 7 days after the second dose of the same vaccine. (Unfortunately, I scratched my rash until it bled, so my hyperpigmentation may linger.). Rashes should be considered a "key diagnostic sign" of Covid-19, according to a study, which found 8% of people who test positive for the virus have some form of rash. Cutis. 8600 Rockville Pike doi: 10.1111/jdv.12942, 13. I also had to stop working out and hiking for about a week, as Alexiades is right excessive perspiration worsened the itch. "Like a lot of things in dermatology, unfortunately, we're not always sure what causes these rashes," says Lam. Another skin condition identified in the study were "vesicular eruptions" seen in 9 per cent of cases. Bookshelf Federal government websites often end in .gov or .mil. (b) Patient 1: Closeup of a plaque. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). J Eur Acad Dermatol Venereol 2020;34:e4367. 2022 Nov;36(11):1947-1968. doi: 10.1111/jdv.18294. Pityriasis rosea as a cutaneous manifestation of COVID-19 infection Pityriasis rosea as a cutaneous manifestation of COVID-19 infection Pityriasis rosea as a cutaneous manifestation of COVID-19 infection Pityriasis rosea as a cutaneous manifestation of COVID-19 infection J Eur Acad Dermatol Venereol. The clinics of HHV-6 infection in COVID-19 pandemic: Pityriasis rosea and Kawasaki disease. A spectrum of cutaneous reactions to SARs-CoV-2 (COVID-19) vaccines have been reported in the literature. For most people, it resolves without treatment. Under the treatment that was initiated a partial remission of the lesions after 7 days was observed. PR also tends to occur in patients between the ages of 10 to 35 that are usually otherwise healthy, Lam says. This patch is the herald or mother patch. Unauthorized use of these marks is strictly prohibited. Clipboard, Search History, and several other advanced features are temporarily unavailable. Involvement of the oral mucosa has also been reported in as many as 50% of all cases (11). Martora F, Battista T, Marasca C, Genco L, Fabbrocini G, Potestio L. Clin Cosmet Investig Dermatol. However, adverse effects to COVID-19 vaccines, particularly cutaneous reactions, have been reported. HHS Vulnerability Disclosure, Help They were found on hands and feet, showing up as red or purple spots caused by bleeding under the skin. This site needs JavaScript to work properly. Coronavirus disease 2019 and pityriasis rosea: A review of the immunological connection. doi: 10.1111/jdv.17342. (2019) 34:185764. Clipboard, Search History, and several other advanced features are temporarily unavailable. From grooming sets to self-care gadgets, we've got them covered. Despite this rare complication, our report highlights that the presence of PR-like eruption is not a contraindication for subsequent vaccinations. Skin lesions appeared in a 49-year-old female 8 days after the first dose of the BNT162b2 mRNA vaccine and in a 53-year-old male 7 days after the second dose of the same . Pearls and pitfalls: Adverse cutaneous reactions after COVID-19 vaccination. doi: 10.1111/jdv.17301. Welsh E, Cardenas-de la Garza JA, Cuellar-Barboza A, et al. At first, I thought it could be a fungal infection like ringworm, a common misdiagnosis, says Hartman, but my dermatologist ruled that out when I mentioned the additional spots erupting on my back via our video chat. Disclaimer. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). You may be more likely to develop it if youre: In some cases, people with pityriasis rosea report that they had significant or long-term stress before developing a rash. Clipboard, Search History, and several other advanced features are temporarily unavailable. [Epub ahead of print]. -, Drago F, Ciccarese G, Parodi A. Pityriasis rosea and pityriasis rosealike eruptions: how to distinguish them? Epub 2022 Jun 19. Pityriasis rosea. Epub 2022 May 3. Among patients who received COVID-19 vaccines, PR-like eruptions have been reported following the first (n = 1) or second dose (n = 2) of BNT162b2 mRNA-based vaccines (3, 4). doi: 10.1002/jmv.26549, 9. Copyright 2021 the Author(s). Epstein-Barr virus reactivation after COVID-19 vaccination in a young immunocompetent man: a case report. Medicine (Baltimore). Fortunately, PR-like eruption is responsive to topical corticosteroids without any systemic adverse effects. Epub 2021 Apr 26. (2021) 60:11501. Accessibility Bethesda, MD 20894, Web Policies If I dont have pityriasis rosea, what other skin condition might I have? Drago F, Ciccarese G, Javor S, et al. Outcome: Bookshelf Influenza viruses and vaccines have triggered pityriasis rosea in some cases.". It was described as "clinically reminiscent" of pityriasis rosea by the authors, from the divisions of dermatology and venereology, pathology, intensive care, and the virology laboratory, of the Hpital Cochin, Paris. Clipboard, Search History, and several other advanced features are temporarily unavailable. sharing sensitive information, make sure youre on a federal Last reviewed by a Cleveland Clinic medical professional on 06/17/2022. The rash itself usually doesnt blister or bleed, but in many cases, the skin may peel. Temiz SA, Abdelmaksoud A, Dursun R, Durmaz K, Sadoughifar R, Hasan A. J Cosmet Dermatol. She diagnosed it as pityriasis rosea, a benign but frustratingly itchy rash that in her words just happens sometimes. Martora F, Battista T, Marasca C, Genco L, Fabbrocini G, Potestio L. Clin Cosmet Investig Dermatol. Sriphojanart T, Khunkhet S, Suchonwanit P. A retrospective comparative study of the efficacy and safety of two regimens of diphenylcyclopropenone in the treatment of recalcitrant alopecia areata. The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of Cond Nast. Br J Dermatol. Learning points: Due to the rising incidence of coronavirus disease 2019 (COVID-19) worldwide, mass vaccination has been the cornerstone in preventing viral spread and decreasing morbidity and mortality. Pityriasis rosea Gibert is an erythematous-papulosquamous dermatosis that frequently occurs in young adults. While unusual, one patient developed pityriasis rosea once a year for five years in a row. Pityriasis Rosea Induced by COVID-19 Vaccination Eur J Case Rep Intern Med. Some patients may have a cold before the rash. Dtsch Arztebl Int. government site. Clin Dermatol. Clin Exp Dermatol 2010;35:3004. J Eur Acad Dermatol Venereol. Pityriasis rosea after administration of Pfizer-BioNTech COVID-19 vaccine. We present two cases of COVID-19 vaccine-induced pityriasis rosea. doi: 10.1016/j.jdcr.2018.04.002, 12. McMahon DE, Amerson E, Rosenbach M, Lipoff JB, Moustafa D, Tyagi A, et al. Unauthorized use of these marks is strictly prohibited. The patients/participants provided their written informed consent to participate in this study. 2021 Dec;108(6):317-318. doi: 10.12788/cutis.0411. Eczema, Psoriasis, Cutaneous Infections, Acne, and Other Common Skin Disorders. Patient concerns: Generalized Papulovesicular Eruption as a Side Effect of the Pfizer-BioNTech COVID-19 Vaccine. It is important for physicians to be aware of this self-limited reaction so they can reassure and appropriately counsel patients that it is safe to receive subsequent vaccine doses despite the cutaneous eruption. No one knows what causes pityriasis rosea, though healthcare experts think a virus might be responsible. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7753512/), Visitation, mask requirements and COVID-19 information, sexually transmitted disease or infection. Get more info about other skin conditions: The Ultimate Guide to Skin Conditions for Black & Brown Folks, I Thought I Just Had Dry Skin, But It Was Actually Perioral Dermatitis, Everything You Should Know About Hidradenitis Suppurativa. Pityriasis rosea, pityriasis rosea-like eruptions, and herpes zoster in the setting of COVID-19 and COVID-19 vaccination. 2022 Sep-Oct;40(5):586-590. doi: 10.1016/j.clindermatol.2022.01.002. Temiz SA, Abdelmaksoud A, Dursun R, Durmaz K, Sadoughifar R, Hasan A. J Cosmet Dermatol. The authors have no conflicts of interest to declare. 2021;185(2):e34. Cutaneous Reactions Following COVID-19 Vaccination: A Review of the Current Literature. See this image and copyright information in PMC. 2022 Sep;21(9):3692-3703. doi: 10.1111/jocd.15209. 8600 Rockville Pike Ciccarese G, Parodi A, Drago F. SARS-CoV-2 as possible inducer of viral reactivations. Br J Dermatol. The https:// ensures that you are connecting to the I put on some hydrocortisone and went to sleep, then woke up with another mark on my side, a couple inches below my armpit. Epub 2022 Feb 9. One week before the rash, respiratory tract infection symptomatology was observed by the patient. Unauthorized use of these marks is strictly prohibited. Rare Heterogeneous Adverse Events Associated with mRNA-Based COVID-19 Vaccines: A Systematic Review. MeSH The evolution was unfavorable, with the spread of the lesions and the accentuation of the pruritus. J Eur Acad Dermatol Venereol. JAAD Int. COVID-19-associated pityriasis rosea in children: Case report and literature review. Some treatments can alleviate related symptoms, including itching. If you develop symptoms of pityriasis rosea while pregnant, contact your healthcare provider right away. No use, distribution or reproduction is permitted which does not comply with these terms. The most commonly reported features . "And it has a particular [dermatomal] distribution because it's along a nerve," which also presents as fluid-filled blisters, rather than lesions. Pityriasis lichenoides has distinct acute and chronic forms, which are usually distinct . It is increasingly recognized that SARS-CoV-2 infection and COVID-19 vaccines have been associated with skin disorders, including pityriasis rosea. Pityriasis rosea developing after COVID-19 vaccination. 2021 Dec;108(6):317-318. doi: 10.12788/cutis.0411. 2021 Nov;35(11):e721-e722. Pityriasis rosea (PR)-like eruption is a cutaneous complication associated with several medications and vaccinations. Dermatol Ther. 2022 Jun;7:164-168. doi: 10.1016/j.jdin.2022.01.009. 1 Several vaccines have been developed to fight against COVID19, to prevent the transmission among susceptible individuals and to decrease the morbidity PS conceptualized the case report and revised the manuscript. Authors Lina Abdullah 1 This Month in JAAD International: August 2022: Cutaneous reactions to COVID-19 messenger RNA booster dose vaccination. 2022 by the American Academy of Dermatology, Inc. The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding author/s. 2022 Jan;114:88-89. doi: 10.1016/j.ijid.2021.10.055. National Library of Medicine JAAD Case Rep. (2018) 4:8001. Br J Dermatol 2021. However, if it does, the symptoms may last for a longer period. The site is secure. retailers. Treatment with topical 0.1% triamcinolone acetonide twice daily showed partial response after seven days. (2006) 12:1. doi: 10.5070/D380D8301D, 11. FOIA Bin Rubaian NF, Almuhaidib SR, Aljarri SA, Alamri AS. 78 PDF Pityriasis rosea following CoronaVac COVID19 vaccination: a case report Elin Akda, N. Ilter, B. t, . Erdem (c) Patient 2: Thin red to tan oval plaques with peripheral scale on the trunk and proximal thigh. Pityriasis rosea-like Covid-arm Erythema multiforme Erythroderma Psoriasis Others Grover-like eruptions Herpes simplex reactivation: 24 1 17 4 2 2 1 1 20 15 9 5 2 1 1 1 3 3: 21.5 0.9 15 3.5 1.8 1.8 0.9 0.9 You also wont have permanent scarring or other damage to your skin. Pityriasis rosea (PR) is an acute papulosquamous cutaneous disorder that classically presents with a herald patch rapidly followed by a widespread rash along skin cleavage lines. Characterization of the inflammatory cell infiltrate in herald patches and fully developed eruptions of pityriasis rosea. The good news is many of those who develop pityriasis rosea never get it again, says New York City-based dermatologist Hadley King. . Epub 2020 Jun 29. PR is a common self-limited papulosquamous eruption typically presenting with a large solitary pink-colored patch or plaque (i.e., herald patch), followed by secondary eruptions of smaller erythematous patches or plaques with associated peripheral collarette scaling distributed along the cleavage lines of the trunk, forming a Christmas tree pattern (5). Before (a) haematoxylineosin, original magnification 10. Proc (Bayl Univ Med Cent). 2005;124(6):12341240. Additionally, differences in incidence of this reaction after Pfizer and Moderna vaccination may suggest a differing host immune response incited by these vaccines which warrants further investigation. 2022 Aug 11;9(8):43. doi: 10.3390/medicines9080043. Safety and efficacy of the BNT162b2 mRNA Covid-19 vaccine. Healthcare experts believe herpesvirus 6 (HHV-6), HHV-7 and/or HHV-8 cause pityriasis rosea, but there arent any conclusive studies. The mechanisms behind these COVID-19-related symptoms remain unclear. The condition is more prevalent in spring and fall. Pityriasis rosea (pih-tuh-RY-uh-sis ROH-zee-uh) is a common skin condition that causes patches of your skin to develop raised, scaly rashes. (2020) 33:e13878. Cazzato G, Ambrogio F, Pisani MC, Colagrande A, Arezzo F, Cascardi E, Dellino M, Macorano E, Trilli I, Parente P, Lettini T, Romita P, Marzullo A, Ingravallo G, Foti C. Vaccines (Basel). (2021) 85:4655. Accessibility doi: 10.7759/cureus.22414. The https:// ensures that you are connecting to the Your healthcare provider can typically diagnose pityriasis rosea after a physical exam. KL and KP collated resources. Histopathologic examination revealed epidermal focal spongiosis, interface dermatitis with necrotic keratinocytes, perivascular lymphocytic infiltration, and few eosinophilic infiltrations in the superficial dermis (Figures 3B,C). Would you like email updates of new search results? Please enable it to take advantage of the complete set of features! Disclaimer. Oily fish, such as mackerel, salmon or sardines. 2021;35(8):e489e491. Cutaneous reactions reported after Moderna and Pfizer COVID-19 vaccination: a registry-based study of 414 cases. -. Would you like email updates of new search results? These types cannot cause cold sores or genital herpes. JAAD Case Rep. 2021;7:9394. Human herpesviruses 6 and 7 are common. Common causes of drug-induced PR-like eruptions include angiotensin-converting enzyme inhibitors, non-steroidal anti-inflammatory drugs, and gold. They develop in a pattern that resembles sagging Christmas tree branches. We present two cases of COVID-19 vaccine-induced pityriasis rosea. Clinical findings of pityriasis rosealike, Clinical findings of pityriasis rosealike eruption in the patients. COVID-19; HHV, human herpes virus; Moderna; PR; PR, pityriasis rosea; PR-LE; PR-LE, pityriasis rosea-like eruption; Pfizer; coronavirus; dermatology; mRNA vaccine; mRNA, messenger RNA; pityriasis rosea; pityriasis rosealike eruption; vaccine. Women are 50% more likely to develop pityriasis rosea. This site needs JavaScript to work properly. Careers. Pityriasis rosea following CoronaVac COVID-19 vaccination: a case report. Dermatology. J Med Virol. Dermoscopy showed dotted and linear vessels forming a network on a yellowish background, with some whitish peripheral scales (Figure 3A). government site. Apply a moisturizer, calamine lotion or a nonprescription . Epub 2021 May 29. Luckily, it's not contagious. The exanthem was self-limited in both patients over a period of a month. Viruses, Variants, and Vaccines: How COVID-19 Has Changed the Way We Look at Skin. J Eur Acad Dermatol Venereol. Department of Dermatology, Graduate School of Medicine, Kyusyu University, Japan. Epub 2022 May 31. "It looks very different.". 2022 May;11(2):222-225. doi: 10.7774/cevr.2022.11.2.222. -, Drago F, Ciccarese G, Rebora A, Parodi A. Please enable it to take advantage of the complete set of features! Disclaimer. If you need help purchasing a product directly from Allure, go to our FAQ. These skin conditions can include, among other things, hives, measles-like rashes and a full body rash similar to pityriasis rosea. Alamri A, Alghamdi Y, Alamri SJ, Althaqafi MK, AlQurashi W, Bader BA, Mohanna AT, Almahdi B. Cureus. Though there's no single-known cause, it may be brought on by a drug interaction, or the reactivation of herpes simplex virus 6 or 7. Epub 2021 Nov 2. FOIA Pityriasis Rosea Shortly After mRNA-1273 COVID-19 Vaccination. COVID-19 has been reported as one such viral trigger for PR. In: Papadakis MA, McPhee SJ, Bernstein J., eds. Here, we described a case of PR-like eruption that developed 14 days after Oxford/AstraZeneca vaccination in a 52-year-old Thai woman with glioblastoma. J Am Acad Dermatol. And the itch usually only lasts for a few days mine finally let up around day seven but the rash can leave behind dark marks that eventually resolve on their own, Lam says. The https:// ensures that you are connecting to the Interventions: Keywords: adverse effect, coronavirus, cutaneous eruptions, immunization, pityriasis rosea, SARS-CoV-2, vaccine, case report, Citation: Leerunyakul K, Pakornphadungsit K and Suchonwanit P (2021) Case Report: Pityriasis Rosea-Like Eruption Following COVID-19 Vaccination. Vaccine-induced pityriasis rosea and pityriasis rosea-like eruptions: a review of the literature. Keywords: 2021 Sep;35(9):e546-e548. Cutis. All rights reserved. The .gov means its official. Here, we describe a case of PR-like eruption following ChAdOx1 nCoV-19 (AZD1222) vaccination in a Thai patient with glioblastoma. Cutaneous Reactions Following COVID-19 Vaccination: A Review of the Current Literature. "Covid arm," a red, rashlike skin reaction that can occur at the injection site days after inoculation, has been well-publicized. government site. Drago F, Ciccarese G, Rebora A, et al. It is likely that a new viral trigger of pityriasis rosea is the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, a fungus causes ringworm. A virus may cause pityriasis rosea, but experts arent sure. 8600 Rockville Pike What started as a single, quarter-inch raised welt on my left rib cage eventually morphed into two, then four. National Library of Medicine Dermatol Online J. A team of researchers . 2022 May;121(5):1003-1007. doi: 10.1016/j.jfma.2021.12.028. Global prevalence and clinical manifestations of cutaneous adverse reactions following COVID-19 vaccination: A systematic review and meta-analysis. Though pityriasis rosea is a common skin rash, it can still make you feel self-conscious, and it can be unpleasant if it itches. Epub 2022 Jun 26. Additional evidence that pityriasis rosea is associated with reactivation of human herpesvirus-6 and -7. Also, topical medication with dermatocorticosteroids and emollients was associated. J Formos Med Assoc. Cureus. eCollection 2022. The Moderna and Pfizer-BioNTech COVID-19 vaccines are the first two COVID-19 vaccines authorized by the Food and Drug Administration for emergency use and already have been given to millions of Americans. doi: 10.1002/ccr3.6096. Epub 2021 Apr 7. 2022 Feb 3;9 (2):003164. doi: 10.12890/2022_003164. Cyrenne BM, Al-Mohammedi F, DeKoven JG, Alhusayen R. J Eur Acad Dermatol Venereol. "In studies, between 2 and 3 percent of people develop the disease again. Yes, There Is a Correct Order for Everything You Do in the Shower, Each Zodiac Sign's Unique Personality Traits, Swoopy 1960s Hair Was Everywhere at the SAG Awards, Christina Aguilera Opened Up About Getting Injections and Why She Doesn't Care If People Judge Her, "I think we all can rely on a little help. Martora F, Battista T, Marasca C, Genco L, Fabbrocini G, Potestio L. Clin Cosmet Investig Dermatol. We evaluated the clinical and pathologic spectrum of mucocutaneous reactions following COVID-19 vaccines, observed consecutively within three large tertiary Centers of the Metropolitan City of Milan . 2020 Sep 25;155(6):273. doi: 10.1016/j.medcli.2020.05.024. doi: 10.12998/wjcc.v5.i6.203, 6. -, Carballido Vzquez A.M., Morgado B. Pityriasis rosea-like eruption after Pfizer-BioNTech COVID-19 vaccination. 8600 Rockville Pike Suchonwanit P, Rojhirunsakool S, Khunkhet S. A randomized, investigator-blinded, controlled, split-scalp study of the efficacy and safety of a 1550-nm fractional erbium-glass laser, used in combination with topical 5% minoxidil versus 5% minoxidil alone, for the treatment of androgenetic alopecia. Accessibility Unfortunately, due to her deteriorating neurologic status, her associated symptoms were not evaluated properly. Atzori L, Pinna AL, Ferreli C, Aste N. Pityriasis rosea-like adverse reaction: review of the literature and experience of an Italian drug-surveillance center. With COVID-19 vaccines being authorized for emergency use, monitoring for potential adverse effects (e.g., cutaneous reactions) is necessary. Some people who have had cosmetic fillers used to remove . Federal government websites often end in .gov or .mil. An official website of the United States government. According to King, an in-person skin exam is usually enough to make an accurate diagnosis, though a biopsy or blood work may be necessary for some. Cutaneous Reactions Following COVID-19 Vaccination: A Review of the Current Literature. Get many smaller patches or bumps on your skin. Your rash looks infected (red, purple, gray or white skin; irritation and swelling). (2016) 30:5445. Your California Privacy Rights. Use of this site constitutes acceptance of our 8600 Rockville Pike Disclaimer. The .gov means its official. Australas J Dermatol. Moreover, central dusky-red erythematous was observed on some plaques (Figure 2A). Moreover, while dermoscopy may facilitate the diagnosis of PR, its utility for atypical PR or PR-like lesions is still limited. A 3-cm oval plaque with peripheral scale, larger, MeSH I figured a very determined mosquito had snuck into my room and attacked me through my tank top. Dermatol Ther. Dermatol Ther. Epub 2021 Aug 26. J Am Acad Dermatol. Figure 2. Suchonwanit P, Hector CE, Bin Saif GA, McMichael AJ. A more recent letter in the International Journal of Dermatology reported a "unique case of pityriasis rosea following administration of mRNA COVID-19 vaccine." sharing sensitive information, make sure youre on a federal Cebeci Kahraman F, Sava Erdoan S, Akta ND, Albayrak H, Trkmen D, Borlu M, Arca DA, Demirba A, Akbayrak A, Polat Ekinci A, Gkek GE, elik HA, Taolar MK, An , Temiz SA, Hazinedar E, Ayhan E, Hzl P, Solak E, Kl A, Ylmaz E. J Cosmet Dermatol. Keywords: Written informed consent was obtained from the individual(s) for the publication of any potentially identifiable images or data included in this article. 2022 Aug;35(8):e15601. -, Welsh E, Cardenas-de la Garza JA, Cuellar-Barboza A, Franco-Marquez R, Arvizu-Rivera RI. Pityriasis means scaly, and rosea means pink, but the rashes may look red, gray, brown or purple. A virus may cause pityriasis rosea, but experts aren't sure. and transmitted securely. Pityriasis rosea following SARS-CoV-2 vaccination: A case series. Borgia F, Li Pomi F, Alessandrello C, Vaccaro M, Pioggia G, Gangemi S. J Dermatol. J Am Acad Dermatol. Accessibility Careers. Int J Dermatol. Bethesda, MD 20894, Web Policies In some cases, central hyperpigmentation was identified. JAAD Int. The .gov means its official. Is there a prescription cream or ointment that you can prescribe? (2021) 35:e4913. COVID-19 vaccines reactions, type I hypersensitivity reactions (such as urticaria, angioedema, and anaphylaxis), . Received: 03 August 2021; Accepted: 17 August 2021; Published: 07 September 2021. 2022 Mar 15;10(3):624. doi: 10.3390/microorganisms10030624. NCI CPTC Antibody Characterization Program, Ritchie H., Mathieu E., Rodes-Guirao L., et al. and transmitted securely. Vaccination is one of the cornerstones in the efforts towards ending the coronavirus disease 2019 (COVID-19) pandemic. Pityriasis rosea is a benign inflammatory rash that starts with a single red rash, also known as the "herald patch," which eventually gives way to a larger, similar-looking rash on the trunk. Shabazz DR. Pityriasis Rosea. Pityriasis Rosea as a Possible Complication of Vaccination Against COVID-19. Pityriasis rosea is a benign inflammatory rash that starts with a single red rash, also known as the "herald patch," which eventually gives way to a larger, similar-looking rash on the trunk within days or weeks, says dermatologist Corey L. Hartman, founder of Skin Wellness Dermatology in Birmingham, Alabama. Br J Dermatol. Pityriasis rosea-like eruption revealing COVID-19. Those ensuing spots like the circle of dots that erupted on my back a day after the initial raised welt appeared typically resemble a Christmas tree-like formation. Pityriasis rosea-like rash after messenger RNA COVID-19 vaccination: A case report and review of the literature. Leerunyakul K, Pakornphadungsit K, Suchonwanit P. Front Med (Lausanne). 2021 Aug;185(2):e34. Before If you have pityriasis rosea, the rash with go away without treatment. doi: 10.1007/s10103-019-02783-8, 16. "Other treatments including phototherapy or oral medications can be considered for extensive or persistent cases, [and] some small case studies support the use of oral antivirals like acyclovir or oral anti-inflammatory antibiotics erythromycin," King explains. However, if you scratch your patches, you may break your skin, leading to an infection that can cause pain. 1. (2021) 35:e5468. Some treatments can alleviate related symptoms, including itching. -, Cyrenne BM, Al-Mohammedi F, DeKoven JG, Alhusayen R. Pityriasis rosea-like eruptions following vaccination with BNT162b2 mRNA COVID-19 vaccine. The authors suggest more research is necessary. Cutis. It is likely that a new viral trigger of pityriasis rosea is the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Treatment with topical 0.1% triamcinolone acetonide twice per day showed partial response after seven days. As vaccine reactogenicity reports continue to surface, dermatologists and other health care providers should understand the landscape of the latest cutaneous reactions to guide and address patients' concerns. eCollection 2021. 2021;85(1):4655. Appointments 216.444.5725 Appointments & Locations Request an Appointment 2021 Dec;108(6):317-318. doi: 10.12788/cutis.0411. Pityriasis Rosea Associated With COVID-19 Vaccination: A Common Rash Following Administration of a Novel Vaccine. Pityriasis rosea-like rash after messenger RNA COVID-19 vaccination: A case report and review of the literature JAAD Int. J Eur Acad Dermatol Venereol. Six cases of pityriasis rosea following SARS-CoV-2 vaccination with BNT162b2. Its important to pay attention to your skin. official website and that any information you provide is encrypted However, pityriasis rosea can look similar to other skin conditions, including: If theres any doubt, your healthcare provider may perform the following tests: In most cases, pityriasis rosea goes away without any treatment in six to eight weeks. doi: 10.1111/ajd.13504. Pityriasis rosea is also known as Christmas tree rash. FOIA Before Clinical aspect of the lesions after 7 days of treatment. They indicate that eight types of rash could be signs of Covid-19, including red toes and fingers, chest eczema and pityriasis rosea (scroll down for the full list). Lessons: While it can spread all over the entire body, PR usually favors the trunk, says Christina Lam, an assistant professor of dermatology at Boston University School of Medicine and dermatologist at Boston Medical Center. Other plausible theories include molecular mimicry with viral epitopes and type IV delayed hypersensitivity reaction (12). Fried foods, including many fast-food items. Rybak-d'Obyrn J, Placek W, Owczarczyk-Saczonek A, Derkaczew M, Joniec E, Hofman R, Stompr M. Clin Cosmet Investig Dermatol. (2020) 83:e5760. If you have pityriasis rosea, you dont have to avoid any foods or drinks. 2022 Feb 20;14(2):e22414. Pityriasis rosea-like eruption after Pfizer-BioNTech COVID-19 vaccination.