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Tratamiento de la Pitiriasis rosada

Por el Dr. Ananya Mandal, MD

Pitiriasis rosada es una afección cutánea que se manifiesta con lesiones de piel ampliamente distribuida que son rojos, escamas y picazón a menudo. La condición generalmente afecta a personas entre las edades de 10 y 40 años y es ligeramente más común entre las mujeres que en hombres.

En la mayoría de las personas la condición se resuelve por sí mismo dentro de 4 a 8 semanas o más de doce semanas o tres meses se necesita tiempo y ningún tratamiento específico. Los tratamientos se orientan principalmente a aliviar los síntomas como picazón o a infecciones bacterianas secundarias correctas u otras complicaciones. 1-7

Tratamiento de la Pitiriasis rosada incluye cremas hidratantes de la piel o emolientes, cremas que contienen corticosteroides, etcétera.

Cremas hidratantes de la piel o emolientes

Se trata de cremas para la piel que están dirigidos para hidratar o calmar la piel sobre las lesiones. Esto conduce a alivio de la picazón. Están disponibles como ungüentos, lociones, así.

Algunas personas también pueden prescribirse jabones con cremas hidratantes. Los jabones normales irritar y agotan la capa de aceite sobre la piel debido a su dureza. Los pacientes es recomendable evitar estos jabones y utilizar jabones con contenido emoliente o humectantes superiores. Estos pueden aplicarse tan frecuentemente como sea necesario para aliviar la picazón y evitar la sequedad de la piel.

La crema hidratante o el emoliente debe aplicarse suavemente en la dirección del crecimiento del cabello y frotar debe evitarse.

Cremas que contienen corticosteroides

Estos medicamentos están encaminados a reducir la inflamación sobre las lesiones. Estos deben ser prescritos por el médico para la mayoría de las personas. Los corticosteroides se prescriben si emolientes no muestran eficacia. Estos son esencialmente una forma sintética de las hormonas producidas por la glándula suprarrenal en el cuerpo humano. Actúan reduciendo la picazón causada por la inflamación y enrojecimiento.

Las cremas deben aplicarse suavemente a las zonas afectadas de la piel una o dos veces al día. Cremas esteroides no se prescriben para más de una semana y generalmente se recomienda una dosis media. Esto es porque pueden conducir a complicaciones como quema de la inflamación si detenido bruscamente. Además algunas personas pueden experimentar un leve ardor o sensación de pinchazo cuando se aplica primero el medicamento. Esto suele ser un efecto secundario temporal y desaparece con el tiempo.

Antihistamínico, que contiene las píldoras

Estos son los medicamentos antialérgicos que pueden aliviar el picor. Los medicamentos más comunes de esta clase son hidroxicina o clorfenamina.

Los antihistamínicos de primera generación como clorfenamina usaron anteriormente para las alergias y causan sedación y somnolencia. Estos pueden ayudar a Pitiriasis rosada ya que ayudan a los pacientes a dormir mejor. Sin embargo, los pacientes se aconsejan no conducir o manejar maquinaria pesada mientras usa este medicamento. Los agentes más nuevos generalmente no causan sedación pero aliviar el picor.

Terapia con luz ultravioleta b

Si los pacientes no responden a la terapia común que pueden recomendarse para la terapia de luz UV B. Esto implica controlados exponiendo la piel afectada durante unos minutos a intervalos regulares a los rayos UV B bajo supervisión de un dermatólogo o un especialista de la piel. Exposición a la luz solar también puede ser útil, pero deben evitar quemaduras de sol y exposición a los rayos del sol también puede conducir a un mayor riesgo de cáncer de piel.

Otros medicamentos para la Pitiriasis rosada

Otros medicamentos que pueden ser juzgados incluyen aciclovir que es un medicamento antiviral que puede utilizarse para infecciones de herpes. Existe evidencia limitada que aciclovir es útil en la Pitiriasis rosada y además es beneficioso sólo si se toma durante la primera semana de la condición.

Quienes desarrollan las infecciones bacterianas secundarias sobre las lesiones también necesitan antibióticos para tratar las infecciones.

Evitación de factores que empeoran la condición

Se recomienda a los pacientes a evitar cualquier cosa que empeora su condición. Esto incluye baños calientes, la actividad física que lleva a la sudoración etc..

Revisado por abril Cashin-Garbutt, BA Hons (Cantab)

Lecturas adicionales

Fuentes

  1. http://www.NHS.uk/conditions/pityriasis-rosea/Pages/Treatment.aspx
  2. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001874/
  3. http://www.BBC.co.uk/Health/physical_health/conditions/pityriasisrosea.shtml
  4. http://www.Patient.co.uk/doctor/pityriasis-rosea.htm
  5. http://UHS.Berkeley.edu/home/healthtopics/PDF%20Handouts/Pityriasis%20Rosea.pdf
  6. http://Evans.amedd.Army.mil/peds/PDF/pityros.pdf
  7. http://www.insted.in/eJournal/review23.pdf

Last Updated: Sep 6, 2012

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Comments
  1. Kreyon Divinity Kreyon Divinity United States says:

    MY PITYRIASIS ROSEA STORY!!!!

    So most of the stories I've read in these forums are usually vague and don't really give people the answers and hope they need. Let me tell you my "PITY" story in hopes that it will lift your spirits and help you through this....
    AHEm..this is the story of my pityriasis rosea outbreak and healing...lol

    I am 25 years old and african american
    So one day I was driving and my friend looked at my arm and said i was breaking out. I looked at ny arm and say a couple of bumps, i simply thought they were heat bumps and brushed them off.. later that day i went home and not thinking i looked at my arm and saw it was covered in many many small bumps...i have no allergies and have never had a reaction to anything. The bumps were not itchy at all and i live in florida and I'm constantly in the sun so again i thought it was a simple heat rash, so i tried to stay inside out of the sun. The next morning I woke up and not only were there more bumps, I saw they had spread to my other arm, This is the point when I started to panic, I began to think about all the things iI had done and the only different thing i could think of was the fact I had eaten peanuts from a spanish women the day before so I thought I may have been allergic or something, But hell I've eaten peanuts all my life so I know that wasn't the issue. So like every one else I took it to the web, I ruled out any STD'd because I practice safe sex, and I haven't been active for a month (BY CHOICE lol)
    I couldn't find anything that matched my symptoms....days went by and the bumps now covered my chest, my back, my neck, shoulders, and neck, eventually they would cover my face. By this point it had been 4 days, and these tiny bumps covered my body except my hands and my feet. Day 5 I happened to get in a car accident and found myself in a hospital, the nurses took off my shirt and were confused and amazed by the rash that covered my body, the doctor asked me a few questions and explained to me that I had something called Pityriasis Rosea, I WAS RELIEVED TO FIND OUT THIS MAN KNEW WHAT THIS WAS!....until he told me there was no cure, and I thought I would catch a heart attack, WHERE DID IT COME FROM?!? was my first question, but then he tells me HES not sure of the cause...No Cause...No cure....you could imagine what I was thinking. He simply smiled and said I had absolutely nothing to worry about as it would go away In a few weeks. Now Im a good looking young man...and when he told me I would look like this for weeks i almost threw my phone away as my social life had died.
           A week had gone by and these bumps had now become Raised Skin colored Patches all over, Whe  i took my clothes off, I SAW THE CHRISTMAS TREE PATTERN all over my chest and back, by this point it started to Itch like CRAZY..THIS WAS THE WORST ITCH IMAGINABLE, It was one time were every point on my body itched at the same time and I could only choose to scratch two places...I wanted to cry. I went to the store and got some **YES TO COCONUT WIPES**, **BENEDRYL**,**HEMP LOTION**,**ORGANIC MINT BODY WASH**. I immediately took a shower and used the MINYT BODY WASH, and immediately felt relief, It was as if a cool feeling covered my body, I got out of the shower, and took some benedryl, for the first time i was able to relax. It wasn't until night time that again I had an itching episode, I used the coconut wipes, and again I was relieved..I was amazed the coconut wipes worked so well, I grabbed them randomly looking for moisturisers but yet these worked better than anything else. Morning I put on the Hemp lotion with seemed to keep the patches calm, and whenever i started itching i used the coconut wipes..I found relief using these for the next few days..

    days later all the patches seemed to get flat and now my skin looked very...scaly? and dry? if that made since. I didn't care...I was just glad the bumps were gone, but now I had this to deal with..Ithe patches seemed to get flaky and just rub off. So i thought i had begun healing...unitl the itching started again..The coconut wipes didn't seem to work on this phase but the hemp seemed to keep my skin moist whenever I was drying out.
       I was now 2 weeks into the rash and now my skin seemed to get dry and flaky where ever the bumps were...I was shedding everywhere...and itching. My friend told me about how his mom used to get flaky skin when she was doing cancer treatments. So i talked to her and she told me she used **Cocobutter Petroleum Jelly** **Jergens Shea Butter Deep conditioning moisturisers** **Lotion with Aloe extract** and **aquaphor healing ointment** and i was to apply the all in that order. I put them on and for the first time since I had this god forsaken rash...My skin Felt Normal, I could see that where my skin was peeling there was light patches, It was like the darker layer of my skin was peeling off revealing a new lighter layer. Days went by and the itch became less, but I was flaking more and more, my skin looked rough and even when i scratched my head flakes began falling out, I then went and got **HEAD AND SHOULDERS SHAMPOO AND CONDITIONER**, after about 3 times the flakes on my hair began to stop. I said hell why not, I used the head and shoulders shampoo and conditioner as body wash. After about three showers, and the application of the lotions, my skin began to look like its original texture, but i still had the light patches everywhere. at first I was scared to go back out in the sun because i thought thats what started this whole mess. But my skin tone began to even out the more time i spent in the sun. The itching became less and less, AND ONLY ITCHED IF I THOUGHT ABOUT IT.
       3 Weeks in the flakes were now non existant, you could barely notice the light patches, the first part to completely clear up was my face, and I COULDN'T stop smiling. Although my skin would get dry from time to time. I was still showering with the head and shoulders and applying all four lotions. The next week all the light spots were gone, I wasn't flaking but my skin was only getting a little dry but It was completely back to the way it was before this rash started.

    4 WEEKS PEOPLE!!! IT DOES GET BETTER I SWEAR!!!!!!!!!!!!!!!!!!!
    Heres a list of all the things i used:
    First stage (Bumps, patches, and Itching)
    Weeks 1-2
    -Say yes to coconut wipes
    -Hemp Lotion
    -Benedryl

    2nd Stage(Dry, Flaking, and Itching)
    Weeks 2-4
    -Cocobutter Petrolium Jelly
    -Jergens shae butter drep conditiong moisturiser
    -Aloe vera lotion
    -Aquaphor healing ointment

    Total: $34.76 cvs

    I HOPE THIS HELPS!! THIS WAS THE WORST!!!!

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