Psoriasis vs. pityriasis rosea: Symptoms and causes

Psoriasis is a chronic lifelong condition that has no cure, while pityriasis rosea is temporary and generally clears up within a few weeks.

As well as confusing these two conditions, people may mistake some types of psoriasis for other skin conditions, including fungal infections, acne, and eczema.

In this article, we look at how to identify psoriasis and pityriasis rosea. We also discuss the causes and treatment of each of these conditions.

Psoriasis and pityriasis rosea

Psoriasis is an autoimmune disease that causes inflamed, dry, red, and scaly patches to develop on the skin. It is most likely to appear in people aged 15 to 25.

People with psoriasis tend to experience flare-ups with periods of remission between them. There is no cure for psoriasis, but there are ways to manage it.

There are several types of psoriasis, including:

  • Plaque psoriasis, which causes dry, raised, red plaques that can be itchy and painful.
  • Guttate psoriasis, which occurs as a result of bacterial infection and causes small, scaling lesions in the shape of water drops. It usually resolves without treatment once the infection has gone.
  • Inverse psoriasis, which affects the areas within folds of skin and may develop due to a fungal infection.
  • Pustular psoriasis, in which red skin surrounds white pustules or blisters, usually on the hands and feet. Despite its appearance, this form of psoriasis is not an infection and is not contagious.
  • Erythrodermic psoriasis, a severe form of psoriasis that produces a fiery redness over most of the body. Symptoms include severe itching and pain, and the skin often peels off in sheets. It is rare and generally occurs in people who have plaque psoriasis.

People may mistake plaque psoriasis or guttate psoriasis for pityriasis rosea.

Pityriasis rosea is another common skin disease that causes scaly patches of rash on the skin. It tends to present initially with a large patch of rash, which is called the herald or mother patch. Smaller patches called daughter patches then follow.

These rashes may appear on the chest, abdomen, back, arms, legs, or neck. They rarely affect the face, scalp, palms, or soles of the feet.

Pityriasis rosea is most common in people between the ages of 10 and 35, but it is also more likely to occur during pregnancy.

Neither psoriasis nor pityriasis rosea is contagious, so these conditions will not spread between people.

Doctors do not know exactly what causes psoriasis, but they believe that it is an autoimmune condition that may have a genetic component.

They are also unsure why pityriasis rosea occurs. This condition is not an allergy, and it does not develop as a result of fungi or bacteria. It may be the result of a virus.

While specific triggers, such as infection, stress, and certain lifestyle factors, can prompt a psoriasis flare, there are no known triggers for pityriasis rosea.

Treatment

Psoriasis may require long-term treatment. Treatment options include:

  • topical corticosteroids for inflammation and itching
  • retinoids to manage inflammation
  • moisturizers for dry skin
  • coal tar products to remove scales and soften the skin
  • injected medications or oral medications, such as methotrexate and cyclosporine
  • salicylic acid for scaling
  • light therapy
  • biologics

Pityriasis rosea usually resolves without treatment within 6 to 8 weeks. If necessary, a doctor may prescribe an anti-itch cream for severe itching.

When to see a doctor

Pityriasis rosea is not a severe condition, and it often resolves without leaving a trace. However, people with signs of pityriasis rosea should still visit a doctor to rule out other conditions. If they are experiencing severe itching, they can also ask for a prescription cream to provide relief.

People who have symptoms of psoriasis should visit a doctor for diagnosis and treatment. Anyone who also has any signs of infections, such as pain, swelling, or fever, should seek immediate medical care.

People may sometimes mistake psoriasis and pityriasis rosea for other conditions, including:

  • eczema
  • nummular dermatitis
  • ringworm
  • dandruff
  • acne

Summary

Psoriasis and pityriasis rosea cause similar patches of scaly, red skin, but they are separate conditions with different causes.

Psoriasis is a chronic, autoimmune condition that it is possible to manage but not cure.

Pityriasis rosea is a skin condition without a known cause. It typically goes away on its own within 2 months.

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