Anetodermic lesions following pityriasis rosea and impetigo

Pityriasis rosea (PR) is an acute, exanthematous disease caused by human herpesvirus (HHV)-6 and/or HHV-7.It mainly affects young adults of both genders.The disease begins with a single, erythematous plaque, called herald or mother patch.It is roundish or oval, pink in colour, with slightly elevated borders and slightly depressed center.It usually occurs on the trunk and remains the unique clinical manifestation of the disease for 7 to 10 days, when widespread, clinically similar, although smaller lesions appear.The scalp, face, palms and soles are usually spared.Pruritus is rarely severe. 1,2ypical clinical presentations are possible. 3The duration of the infection ranges from two weeks to three months.The disease is self-healing: therapy is usually unnecessary or symptomatic.We present a case of anetodermic lesions which appeared in a patient with PR followed by impetigo.A 32-year-old woman was admitted with a clinical diagnosis of PR.The patient stated that she was in good general health and that she was not in therapy with systemic drugs.She also declared that the rash had appeared one week earlier and was accompanied by severe pruritus.Dermatological examination revealed numerous erythematous-squamous papules which were widespread on the chest, abdomen, back (with a COPYRIGHT© EDIZIONI MINERVA MEDICA