Pityriasis rosea in humans: photos, symptoms and treatment 90115 11

The essence of the disease

Cases of pityriasis rosea are quite common, but at the same time, the disease itself has not been fully studied. Especially when it comes to the nature of emergence. Pityriasis rosea appears most often during periods when the immune system is weakened, in the autumn and spring. Often the disease is diagnosed after suffering from infectious diseases, hypothermia, problems with the gastrointestinal tract and other health problems. There are also cases where symptoms also appear as allergic reactions.

Pityriasis rosea, or Gibert's disease , is a dermatosis that is characterized by some structural nature of its course. There is a risk of exacerbations, as well as a risk of developing and intensifying allergies. Mostly, pityriasis rosea occurs in children over 2 years of age and adults under 40. In infants and older people, pityriasis rosea is extremely rarely diagnosed.

Most experts agree that pityriasis rosea is an infectious disease. There is a theory that means that it is caused by one of the types of viral herpes (VII or VI). But at the same time, the disease is not dangerous to others. If there is a patient with this diagnosis in a group of people, then there is no need to panic, since pityriasis rosea in most cases is not transmitted.

The main danger of pityriasis rosea is the wrong course of treatment, which can lead to serious complications, namely:

• severe irritation;
• severe allergic reactions that are difficult to treat.

That is why it is worth knowing and understanding the essence of the disease and being able to determine its manifestation in order to begin treatment in a timely manner. In the initial stages of development of pityriasis rosea, it is possible to get rid of it even at home.

Clinical picture and treatment

The clinical picture of the disease helps to accurately diagnose the disease through a visual examination of the patient and interviewing the person. The method of treating the lesion will directly depend on the symptoms of the lesion and the general condition of the person; in almost all cases, urgent hospitalization of the patient is required. Therapeutic measures should be carried out under the supervision of a neurologist and dermatologist. In case of severe pain, the patient is prescribed analgesics and sedatives. If cerebral disorders occur, then medications are started that help restore the functioning of the nervous system.

The use of antiviral immunomodulators is mandatory for all patients with herpes zoster. Treatment with local drugs will consist of applying special antiviral ointments and preventing bacterial infections. The effectiveness of treatment measures will directly depend on the form of the disease and the diagnosis.

Causes

The studies carried out did not establish the only possible causative agent of the disease. But we were able to identify possible causes after which the symptoms of Zhiber’s disease are most often observed:

• stressful situations;
• hypothermia;
• periods of decreased immune defense;
• immunization through the administration of vaccines;
• avitaminosis;
• problems with the intestinal tract;
• infectious diseases;
• seasonal allergic reactions;
• insect bites that can be carriers of infection, for example, fleas, lice and others;
• disturbance of metabolic processes in the body.

It is not a fact that if these reasons are present, pityriasis rosea will necessarily appear, but the risk of developing symptoms of the disease increases.

Is it possible to breastfeed with lichen

There are three reasons to switch to artificial feeding for dermatoses:

1. During lactation, mother's milk is enriched with beneficial substances directly through the blood. Accordingly, if fungi and viruses are activated in the body, then the pathogenic microorganisms themselves and their metabolic products can enter the baby’s esophagus. The baby has not yet fully developed immune defenses. Therefore, if the mother is infected with lichen, she can become a source of infection for the child.
2. Treatment of lichen involves the use of powerful medications, which are mostly contraindicated during breastfeeding. If you do not switch the child to formula, it is unknown how his body will react to the chemical “cocktail” in the mother’s blood.
3. Breast damage causes severe discomfort to a woman when feeding. The child will put pressure on the mammary glands and play with damaged nipples. This will aggravate the disease and may cause complications.

The only lichen on the chest that is absolutely safe for a child is pityriasis versicolor. But the best solution when symptoms of any dermatosis appear is to always visit a doctor who will tell you whether it is possible to continue breastfeeding and prescribe adequate treatment.

Symptoms

A characteristic sign of the disease is rashes on the body. Pityriasis rosea can appear on all parts of the skin. Many patients experience pain in the joints, general weakness, and a headache before a profuse rash occurs. Often there is even an increase in lymph nodes in the neck.

In the video, the dermatologist will describe in detail the symptoms of the disease, indicating where the disease begins and the main development processes.

An indicative sign of pityriasis rosea are small pink spots. They quickly spread throughout the body and increase in size. The main parts where rashes appear are:

• torso;
• arms and legs;
• cervical region;
• front part of the head;
• hands and feet, especially with severe sweating.

The spots are most likely to appear on the torso, back and chest.

Rashes appear from time to time. You can recognize them by their characteristic oval shape. They reach up to 3 cm in diameter. The spots in most cases itch, causing discomfort. A few days after the appearance of the rashes, they change their appearance, namely:

1. the middle of the spot sinks a little (the central part is covered with folded scales, and a pink border is formed along the edges, without peeling);
2. the skin becomes brown;
3. keratinized scales appear on top of the spot;
4. the edges of the rash rise slightly and peel.

When the peeling goes away, a small strip of stratum corneum remains around the brown center. In other places the color remains pink.

Good to know! During pityriasis rosea, several types of rashes may simultaneously appear on the body.

An important sign of the onset of development of pityriasis rosea is the fact that a week or two before the onset of a profuse rash, the first spot already appears in more than half of patients. It is called maternal. It is initially larger than usual and can reach 4 cm in diameter. In addition, it peels off over the entire surface. Often, before the appearance of rashes, patients may experience general malaise and fever.

The general period of the disease is 1-2 months, after which traces in the form of pigmentation may still be observed. Usually this disease does not recur, but in case of severe weakening of the immune system, a relapse (resumption of the disease) is possible.

Main symptoms of damage

The most common symptoms of lichen include:

• the appearance of lesions in the legs, shoulders, abdomen, in some cases, the scalp and on the nail plate;
• the initial stage of development of the disease is characterized by the appearance of pale pink spots on the body, the skin of which in almost all cases begins to peel off and become crusty;
• in some cases, there is an increase in body temperature, as well as an increase in peripheral lymph nodes.

If these symptoms appear, there is no need to worry too much, as lichen can be easily cured. If you pay attention to the disease in a timely manner and begin proper treatment, then after a few weeks all the symptoms will disappear.

Adults should remember that lichen is a very dangerous disease. To prevent its development, it is important to try to isolate yourself from healthy people for a while. It is forbidden to go to public places. Lichen most often has a fungal nature and therefore spreads through spores.

Diagnostics

To establish a diagnosis, a general examination is performed, focusing on the spots. But often, rashes with pityriasis rosea can resemble other dermatological diseases. For example, it could be rubella, measles, psoriasis or others. To accurately establish a diagnosis, it is recommended to carry out a number of procedures:

• study of a general blood test;
• study of general urine analysis;
• scraping;
• performing a serological test.

It is the overall result that will make it possible to establish that the spots that have appeared are definitely manifestations of pityriasis rosea.

Preparations for external use

Even a photo of colds is a rather unpleasant sight, therefore, in order to get rid of the external manifestations of the disease as quickly as possible, the patient is prescribed ointments:

• "Lorinden." This ointment copes well with skin hyperemia, quickly relieves swelling and inflammation, due to which the feeling of itching disappears.
• "Flucinar". It is also a hormonal ointment, a corticosteroid of synthetic origin. The product copes well with swelling and itching.
• You can use salicylic or zinc ointments, which promote rapid exfoliation and relief of clinical symptoms, and prevent the occurrence of secondary bacterial infections.

Colds in children are treated using the same method as in adults. The main thing is to prevent plaques from becoming infected to avoid complications.

Treatment

Treatment of pityriasis rosea (Giber's disease) is not difficult. When identifying the corresponding stains, there is no need to worry too much. For many, the rash goes away without any additional medications in 4-6 weeks. Some time after recovery, small spots may still remain on the skin in the places where the disease manifests itself; they will also disappear in 2-3 weeks.

But there are some rules that should be followed to speed up the process of getting rid of lichen, namely:

• minimize water procedures, switch to taking a shower instead of spending a long time in the bathroom;
• for washing, use products that do not dry the skin; it is better to take something from the series for children;
• try to wear clothes exclusively made from natural fabrics, as synthetics can activate inflammatory processes on the skin;
• minimize physical activity in order to prevent overheating, as well as excessive sweating;
• adhere to proper nutrition (dairy products, lean meat, such as chicken), give up bad habits (alcohol, smoking).

If, after 6-8 weeks, pityriasis rosea does not go away, you should consult a dermatologist, since untimely treatment can lead to complications of infection of areas with rashes. In such cases, the doctor prescribes antibiotics to prevent the occurrence of eczema.

Medications against pityriasis rosea

But rashes do not always go unnoticed. Often the patient feels itching. To reduce the feeling of discomfort, it is recommended to use antiallergic drugs, among which the most popular are:

• Loratadine;
• Suprastin;
• Erius;
• Eden;
• Tavegil and others.

Acute manifestations of dermatosis require the use of antibacterial drugs. With this diagnosis, Erythromycin is recommended, which will stop the development of the disease and relieve acute attacks.

At the same time, it is worth taking medications to strengthen the immune system. These include:

• vitamin complexes (Vitrum, Complivit and others);
• immunostimulant preparations made from natural ingredients (schisandra or echinacea).

But it is worth remembering that all medications are recommended to be taken only in cases of acute manifestations of the disease, when the body is not able to cope with the symptoms on its own.

Treatment with ointments

When pityriasis rosea does not go away within a month or causes severe discomfort to the patient, there is a group of antibiotics or corticosteroids in the form of ointments that are prescribed for treatment. These include:

• Flucinar – an ointment with anti-allergenic properties, belongs to the group of hormonal drugs. It relieves itching, and also removes flaking, improves skin color;

• Sinalar – an ointment that combines an antibacterial effect and also contains glucocorticoid drugs that quickly relieve itching, stop inflammatory processes, and significantly improve the skin in areas of rash;

• Lorinden A – steroid ointment, which contains salicylic acid. With its help you can relieve itching, remove swelling, and reduce peeling.

The group of ointments against pityriasis rosea also includes the Tsindol suspension. It contains zinc, which regenerates the skin well, relieves swelling and itching, and stops inflammation. It is necessary to wipe the rashes 1-2 times a day.

The following drugs are also recommended for topical use:

1. Salicylic alcohol;
2. Resorcinol solution.

They are excellent antiseptics, which helps stop the development of lichen. They should be used to wipe the rashes several times a day, but not less than three.

Attention! You should use alcohol, iodine, lotions and other similar drugs very carefully and in rare cases. They can increase the unpleasant sensation of itching and also dry out the skin very much.

Folk remedies

Traditional medicine tips can also help in the treatment of pityriasis rosea. Before using traditional methods, it is better to consult a dermatologist. Self-medication can lead to complications, as well as infection of healthy areas of the skin.

The most popular folk remedies against dermatosis of this type are:

• pour vodka over celandine leaves, leave for at least 20 days, then drink half a teaspoon each time before meals;
• lotions from a tincture of a plant such as golden mustache. They must be done daily. You can buy the mixture at the pharmacy, but it is better to prepare it yourself by grinding the fresh leaves of the plant into a paste.
• Apply calendula ointment 3 times a day to the areas of manifestation of the disease. You can buy it at the pharmacy or prepare it from 10 grams of leaves and 50 grams of petroleum jelly, which are mixed after grinding the calendula.
• drinking aloe juice, which must be squeezed directly from the plant’s sills. It should be drunk 1 tablespoon for 2 weeks before meals.
• Apply the remains of burning paper to the rashes. A kind of paper “resin” can be obtained by burning a paper cone on a plate.

All traditional medicine recipes are quite simple and accessible, but they have a higher risk of aggravating the situation, so they must be used with extreme caution.

Pink spots on the skin photo

The causative agent of erythema infectiosum is considered to be the herpes virus. At first, signs of a common cold are observed, and only after 3-4 days round spots appear on the face and body. For the treatment of viral infections, symptomatic medications and bed rest are indicated.

The rubella virus is transmitted by airborne droplets and affects the lymphatic system. The rash first appears on the face and then spreads throughout the body. Pale pink spots on the skin itch, body temperature rises, and a slight runny nose appears. Lymph nodes on the back of the neck become enlarged. The lesions are not prone to fusion. The rash disappears within three days, leaving no traces. The infection is dangerous for pregnant women due to its ability to infect fetal tissue, leading to serious developmental defects.

Diet for pityriasis rosea

Treatment of pityriasis rosea also requires compliance with nutritional rules, namely, it is necessary to eat exclusively dietary foods that belong to the hypoallergenic group.

These are:

• all fermented milk products;
• lean meats: beef, chicken;
• cod;
• wholemeal bread;
• cereals: rice, pearl barley, oatmeal;
• vegetables of dull colors;
• vegetable oils;
• drying, prunes, dried apricots;
• still mineral water, dried compote, tea, rosehip drink;
• tongue, kidneys, liver;
• sea ​​bass.

Not often, but the following products are allowed:

• cereals: buckwheat and corn;
• pork, lamb, rabbit, but not fatty parts;
• potato;
• legumes;
• herbal decoctions.

The following are strictly not permitted:

• seafood, caviar;
• citrus;
• spices;
• conservation;
• eggs;
• brightly colored fruits and vegetables;
• soda;
• alcoholic drinks;
• dried fruits;
• honey;
• nuts;
• cocoa, chocolate;
• coffee;
• products with emulsifiers, dyes.

It is recommended to adhere to this type of diet for 2 weeks, although children only need to adhere to it for a week.

Features of treatment

Lichen on the back of a child and an adult can be treated even at a severe stage of development. Some people try to eliminate it using folk recipes. But do not forget about taking medications, otherwise the therapy will not bring a positive effect. To determine the condition, you should look at a photo of the lichen on the back, and treatment should begin after identifying the causative agent.

Basic ways to eliminate infection:

1. Without outside help, pityriasis rosea may not go away. Most often, the spots disappear completely after 2 weeks. To eliminate the unpleasant symptoms of the disease, it is important to begin the comprehensive use of ointments and antihistamines.
2. When treating ringworm in the affected area, it is important to shave the hair. Before going to bed, the affected area of ​​the body should be lubricated with sulfur ointment and treated with salicylic alcohol. In some cases, antibiotics are prescribed for this condition.
3. Shingles can be treated by taking antiviral medications. The infection is especially dangerous when blisters occur, so it is important to stop contact with infected people.
4. Pityriasis versicolor can be treated with topical antifungal agents. Throughout the treatment, it is important to protect the skin from direct sunlight.

Preventive precautions

The best treatment for a disease is prevention. In order to avoid the manifestations of depriving Zhiber, it is worth taking a number of preventive actions, namely:

1. avoid changes in the temperature of the external environment in which you are located, in particular, you should not overcool;
2. treat all infectious diseases to the end, take vitamin complexes after them;
3. Avoid stressful situations as much as possible or take sedatives;
4. exercise, take medications to strengthen the immune system;
5. carefully monitor personal hygiene;
6. Avoid dyes, preservatives, flavors, and chemical additives as much as possible.

It is also worth noting that after suffering the disease once, a person gains immunity against pityriasis rosea. Re-infection is very rare.

Treatment of colds

The use of therapeutic therapy in the initial stages of the disease prevents damage to large areas of the skin, eliminates itching and burning. Ringworm needs to be treated comprehensively. For its treatment the following are used:

• cold remedies;
• antihistamines and strengthening medications;
• folk remedies;
• vitamin complexes;
• external antiviral and antibacterial drugs.

Medications to relieve symptoms and prevent the spread of the disease are presented in the table:

Atypical forms

In the absence of a primary maternal plaque, atypical forms of pityriasis rosea develop (papular, follicular, vesicular, urticarial and miliary). In clinical practice, such forms of the disease are very rare.

Lichen ringed Vidal

Giant pityriasis rosea is one of the atypical forms of the disease. It is characterized by a small number of round pinkish-yellow rashes, but the size of the formations is truly gigantic (they can reach 5-8 cm in diameter).

To date, the exact etiology of giant pityriasis rosea is not known. Some experts argue that its occurrence is provoked by a fungus that lives on the surface of the skin, while others argue that it is caused by bacterial microflora.

As a rule, ringed Vidal's ring-shaped lichen develops spontaneously. Its appearance is often provoked by severe nervous overload, sudden climate change or malfunction of the immune system.

Giant pityriasis rosea is a disease that occurs in three stages:

1. Stage of primary itching. During this period, severe, painful itching appears in a limited area of ​​visually healthy skin in the evening and at night.
2. Stage of nested lichenification (thickening of the skin due to the appearance of small, slightly elevated papules with vaguely defined edges and a shiny surface as a result of scratching). In this case, there is an increase in the skin pattern, and the skin becomes rough, fine-grained, hard and dry.
3. Stage of diffuse lichenification. At this stage of the disease, so-called “discs” of thickened, pink-coffee-colored skin are formed, rising above the healthy skin. They are lined with deep parallel grooves that intersect each other at different angles. These formations may be covered with thin scales, abrasions or crusts. The skin on the affected area is very thick and dry.

Giant pityriasis rosea is a disease that can last for years. It is characterized by seasonal exacerbations. Pathological manifestations disappear randomly, leaving behind pigmented or depigmented spots. As a rule, no more than three giant discs are formed in one patient. Their favorite localization sites are the genitals, large articular joints, the perineal area and the back of the neck.

It should be noted that Vidal's ringed ringed lichen can often be combined with Gibert's disease.

Causes of temperature reaction

People not involved in medicine often believe that the disease affects only the skin. But the temperature with lichen suggests that it affects the entire body. This reaction is caused by several reasons:

• strengthening the body's defenses in response to infection;
• active production of pyrogens - antipyretic substances.

Dermatosis of an infectious nature often occurs when a person’s immune system is weakened. The cause of the failure may be ARVI, influenza, or another disease. The addition of a skin disease often occurs when the body has not yet recovered from a previous illness. In this case, fever is a sign of an active immune system fighting a new infection.

Fever also occurs as a result of poisoning of the body with waste products and the breakdown of pathogenic viruses, bacteria, and fungi. In such situations, an increase in thermometer values ​​is possible not only in patients with infectious lichen, but also in people suffering from rashes of an allergic nature. The addition of a bacterial or viral infection to the allergic process can provoke a significant increase in temperature.

Temperature indicators for different types of lichen

How high the temperature from lichen will be is determined by the type of pathological process. The state of immunity of the sick person also plays an important role.

Shearer

This type of fungal dermatosis is the most common among children and adults. Fungal infection (microspora canis, trichophyte tonsurans) is contagious, it is easily transmitted from a sick person or animal to a healthy one. You can get ringworm if you use the patient's personal belongings - a comb, towel, washcloth, toys.

Ringworm

From the moment of contact with the fungus until the first signs of the disease appear, it can take from 5 days to one and a half months. In most cases, the temperature with ringworm remains within normal limits. But on the skin you can observe the appearance of oval or round red spots. They have a rim covered with small scales and crusts. Patients complain of severe itching, burning sensation, and peeling of the affected areas.

In children prone to frequent colds, as well as adults suffering from severe chronic pathologies, ringworm can occur with fever, headache, and lack of appetite. Skin disease in this category of patients is often accompanied by inflammation of the lymph nodes and the appearance of pustules on the skin and hair follicles.

If it spreads to the part of the head covered with hair, bald spots occur. In the affected areas, the hairs break off almost at the very base. Often one large focus of inflammation forms, around which smaller ones are concentrated.

Pityriasis

The pityriasis form of the disease is caused by yeast-like fungi Pityrosporum orbiculare, Pityrosporum ovale, and Malassezia furfur. These fungi often live on human skin without causing problems. The disease occurs due to a weakening of the body’s defenses when:

• infectious processes (AIDS, tuberculosis);
• metabolic disorders (diabetes mellitus, obesity, impaired thyroid function);
• rheumatism;
• lymphogranulomatosis;
• leukemia.

Pityriasis versicolor can be caused by excessive sweating (hyperhidrosis), as well as seborrhea.

Children and adolescents suffer from this skin disease more often than others. The largest number of flaky areas is observed on the part of the head covered with hair and the upper part of the body. The first rashes look like small yellowish dots, which later take on the appearance of yellow-pink or yellow-brown spots. If you rub such a spot, it begins to peel off.

Pityriasis versicolor or versicolor versicolor

A characteristic feature of the pityriasis form is that the affected areas of the skin do not tan. While most of the surface of the body darkens under the influence of ultraviolet radiation, dermatous spots do not change color.

With pityriasis versicolor, the body temperature remains normal.

Pink

To date, the exact causes of pityriasis rosea have not been established. It is believed that the disease can be caused by herpetic virus types 6 and 7. A person with a weakened immune system becomes sensitive to the pathogen. That is why the peak incidence occurs in autumn and spring. Most often, children over ten years of age and adults under 40 years of age suffer from skin pathology. In most cases, pityriasis rosea occurs without fever.

The typical form of the disease is characterized by the appearance of a maternal lesion. This is an oval-shaped spot of bright pink color. Its diameter varies from 2 to 5 cm. After a week (sometimes 10 days), new rashes are added to the maternal plaque. They are smaller and have a border without scales. Massive accumulation of such spots is often observed in skin folds.

Against the background of normal temperature, with rosacea, the patient is bothered by itching. The rash on the body lasts 1-1.5 months. Then the rash gradually disappears.

Red flat

There are several factors that can trigger the disease. This:

• autoimmune reaction in people with a genetic predisposition;
• taking certain antihypertensive drugs (to lower blood pressure), anti-malaria drugs, and other medications.

The temperature with lichen planus does not rise. But the body of a sick person is covered with flat papules. They are purple in color, sometimes acquiring a violet tint. Multiple small tubercles may merge into round spots. The rashes are localized on the bends of the elbows, knees, and can affect the mucous membrane of the oral cavity and genitals.

A separate article on our website is devoted to the temperature associated with herpes zoster.

Treatment of pityriasis rosea

It should be noted that, as a rule, when pityriasis rosea occurs, after about 6-12 weeks a person recovers on his own, without the use of any medications. However, patients must strictly follow all recommendations of their physician. During illness, the skin needs proper care, and the patient should follow a strict hypoallergenic diet.

Patients are not recommended to wear clothing that causes pressure or friction on certain areas of the skin, as this can provoke the development of an allergic reaction with subsequent exacerbation of the disease. Also, experts do not advise staying in the sun or taking baths during the height of the illness.

In cases where the disease occurs against a background of elevated temperature, patients are advised to take antipyretics, and in the presence of severe itching, antihistamines. In parallel, local treatment with corticosteroids, as well as water and oil suspensions that relieve itching, can be prescribed.

For the entire period of treatment, patients suffering from pityriasis rosea will have to give up wearing synthetic and woolen underwear and a number of body care cosmetics.

In order to speed up the process of disappearance of rashes, some experts recommend treating the skin with salicylic alcohol, and if an infection occurs, the patient is prescribed antibacterial therapy and desensitizing agents.

Traditional methods of treatment

Pityriasis rosea on the face photo
There are proven folk methods for combating pityriasis rosea. Some products can actually speed up the healing process of affected skin areas and relieve itching. A decoction of string, oak or chamomile will significantly reduce itching on the body or face if you regularly wipe the skin with it.

Lichen rosacea on the face progresses much faster if you use a homemade mixture consisting of inexpensive and accessible components:

• baby cream (20 g)
• fish oil (20 ml)
• birch tar (5 ml)

It is necessary to mix all the ingredients and apply with gentle massaging movements to the skin. The medicine has an unpleasant odor, but it effectively relieves severe itching.

Pityriasis rosea in children

Pityriasis rosea is considered a pathology of infectious-allergic origin. Most often, in childhood, it develops after vaccination, long-term use of medications (antibiotics, vitamins and sulfonamides), after respiratory viral infections, and also due to local irritation caused by synthetic underwear. At the same time, pathogenetic factors include foci of chronic infection, endocrine pathologies and diseases of internal organs.

In the early stages of the disease, a maternal plaque (a large erythematous lesion with clear ridges and peeling in the center) forms on the child’s body. As a rule, it is localized on the thighs, abdomen or chest.

During this period, children complain of headaches, malaise and joint pain. The temperature remains normal or rises to low-grade levels.

5-10 days after the appearance of the maternal plaque, a profuse rash appears on the child’s body. It is presented in the form of pink or red spots with a yellow tint with fuzzy oval outlines. The rashes are located along the lines of skin splits, often affecting the shoulders, hips and sides of the torso.

However, in childhood, pityriasis rosea can also be localized on the scalp. In this case, the formations acquire a pale pink color and begin to peel off profusely.

With inadequate treatment and care in a child, Zhiber's disease can be complicated by pyoderma, as well as the appearance of skin manifestations that resemble eczema in their clinical signs. In such cases, large weeping areas appear on the patient’s body. Most often they are localized in places where clothing is tightly attached, as well as in large folds of the skin.

In the normal, uncomplicated course of the disease, after 6-8 weeks the pathological process spontaneously resolves, and after it the patient develops stable immunity.

Experts do not recommend using active therapy when pityriasis rosea occurs in children. However, parents must correctly adjust the diet of a sick child. It should not contain products that may cause allergies or irritate the digestive tract. Also, during illness, active water procedures are contraindicated, as they can provoke further spread of skin rashes.