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August 1995, Vol 149, No. 8 >
Article | August 1995

Picture of the Month FREE

Gary L. Darmstadt, MD; Walter W. Tunnessen, MD
Arch Pediatr Adolesc Med. 1995;149(8):923-924. doi:10.1001/archpedi.1995.02170210097018.
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A HEALTHY 8-year-old girl presented with a 6-week history of an acute, generalized skin eruption. Her palms and soles had become thickened and scaly over a 3-year period prior to eruption of the rash. Approximately 1 week before the eruption, she had mild pharyngitis. Over 1 to 2 days, erythema and scaling developed on her elbows, knees, scalp, and face. Over the following 1 to 2 weeks, the eruption spread over her upper and lower extremities and lastly over her trunk. The rash became increasingly hyperkeratotic and orangish-red in hue, and it covered 80% of her total body surface area (Figure 1 through Figure 4).

Editor's Note  There is no charge to authors for the publication of color pictures that appear in the Picture of the Month.Catherine D. DeAngelis, MD

Denouncement and Discussion 

Juvenile Pityriasis Rubra Pilaris  Pityriasis rubra pilaris (PRP) is an uncommon, chronic papulosquamous disorder of unknown cause.

REFERENCES

1 +
Griffiths WAD.  Pityriasis rubra pilaris . Clin Exp Dermatol . 1980;;5:105-112.
2 +
Gelmetti C, Schiuma AA, Cerri D, Gianotti F.  Pityriasis rubra pilaris in childhood: a long-term study of 29 cases . Pediatr Dermatol . 1986;;3:446-451.
3 +
Soeprono FF.  Histologic criteria for the diagnosis of pityriasis rubra pilaris . Am J Dermatopathol . 1986;;8:277-283.
4 +
Blauvelt A, Nahass GT, Pardo RJ, Kerdel FA.  Pityriasis rubra pilaris and HIV infection . J Am Acad Dermatol . 1991;;24:703-705.
5 +
Borok M, Lowe N.  Pityriasis rubra pilaris: further observations of systemic retinoid therapy . J Am Acad Dermatol . 1990;;22:792-795.
6 +
Dicken CH.  Isotretinoin treatment of pityriasis rubra pilaris . J Am Acad Dermatol . 1987;;16:297-301.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Griffiths WAD.  Pityriasis rubra pilaris . Clin Exp Dermatol . 1980;;5:105-112.
2 +
Gelmetti C, Schiuma AA, Cerri D, Gianotti F.  Pityriasis rubra pilaris in childhood: a long-term study of 29 cases . Pediatr Dermatol . 1986;;3:446-451.
3 +
Soeprono FF.  Histologic criteria for the diagnosis of pityriasis rubra pilaris . Am J Dermatopathol . 1986;;8:277-283.
4 +
Blauvelt A, Nahass GT, Pardo RJ, Kerdel FA.  Pityriasis rubra pilaris and HIV infection . J Am Acad Dermatol . 1991;;24:703-705.
5 +
Borok M, Lowe N.  Pityriasis rubra pilaris: further observations of systemic retinoid therapy . J Am Acad Dermatol . 1990;;22:792-795.
6 +
Dicken CH.  Isotretinoin treatment of pityriasis rubra pilaris . J Am Acad Dermatol . 1987;;16:297-301.

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