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Pityriasis rosea manifesting only with a herald patch

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Published: 19 May 2025
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Authors

Dear Editor,

Pityriasis rosea (PR) is an acute, self-limited exanthematous disease associated with the endogenous systemic reactivation of human herpesvirus (HHV)-6 and/or HHV-7. The disease typically begins with a single erythematous plaque called the “herald patch” (HP), followed by a secondary generalized, symmetrical eruption. Rarely, PR can be limited only to the herald patch. The clinical and laboratory features of these atypical PR have been poorly investigated. [...]

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Citations

1. Broccolo F, Drago F, Careddu AM, et al. Additional evidence that pityriasis rosea is associated with reactivation of human herpesvirus-6 and -7. J Invest Dermatol 2005;124:1234-40.
2. Drago F, Ciccarese G, Merlo G, et al. Oral and cutaneous manifestations of viral and bacterial infections: Not only COVID-19 disease. Clin Dermatol 2021;39:384-404.
3. Leung AKC, Lam JM, Leong KF, Hon KL. Pityriasis Rosea: An Updated Review. Curr Pediatr Rev 2021;17:201-11.
4. Urbina F, Das A, Sudy E. Clinical variants of pityriasis rosea. World J Clin Cases 2017;5:203-11.

How to Cite



1.
Drago F, Varesano S, Herzum A, Ciccarese G. Pityriasis rosea manifesting only with a herald patch. Dermatol Reports [Internet]. 2025 May 19 [cited 2026 Apr. 18];18(1). Available from: https://journals.pagepress.net/dr/article/view/10326