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Bipina Poudel Medical

Disorder characterised by an initial ‘herald patch’ followed by scaly erythematous plaques usually in ‘Christmas tree’ distribution

Question

What disorder is characterised by an initial ‘herald patch’ which is then followed by scaly erythematous plaques usually in a ‘Christmas tree’ distribution?

Options
Option A
Pityriasis rosea
Option B
Herpes
Option C
Varicella zoster virus
Option D
Erysipelas
Correct Option

Option A

Explanation

Pityriasis rosea classically presents with a salmon coloured solitary patch ‘herald patch’ which enlarges over a few days followed by generalised bilateral and symmetric macules with collarette scale. Pruritus is sometimes present. It self resolves within 6 – 8 weeks.

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