Therapeutic dermatologic and aesthetic updates

Tips therapeutic. Common in children and adults mild and tolerable itch limiting Auto The best treatment is Watchful antibiotics Some studies suggest that erythromycin may shorten the course of the rash and relieve itching, though oreos have found no significant differences versus placebo. In a nonrandomized study it has reported a cure rate of 73%, but with poor intestinal tolerance in 12%. Nor they have noted significant differences between placebo and azitromcina. Clarithromycin 250 mg twice daily for two weeks has been obtained healing in 50/52 cases in the 1st week. antivirals The indication would be justified by the frequent presence of herpes virus 6 and 7 in pink rosea. One study randomized, open-label, has shown good results with a dose of 800 mg 5 times daily.

The authors suggest that the effectiveness of antiviral maximum serious if treatment is indicated in the 1st week of disease onset. Phototherapy In a nonrandomized study exposure to UVB doses eritematogénicas for 10 days resulted in a decrease in severity of lesions in 15/17 patients. systemic treatment The oral methylprednisolone at a rate of 16 mg / day is indicated in children with severe itching, suberitrodérmicas scattered shapes and forms. But it should be given with caution because in some cases it can exacerbate itching. Acyclovir can be used in disseminated forms during pregnancy to prevent abortion or premature birth, with the warning that has not yet been confirmed the safety and efficacy of this treatment. conclusions Watchful waiting is the most common Topical remedies often induce itching The evidence from the accumulated experience is not enough to sustain prescription topical therapies: emollients, antihistamines, corticosteroids Nor it has established the efficacy of exposure to sunlight, artificial UV, antihistamines or systemic corticosteroids, antiviral Systemic therapy has limited indications.

Bibliography:  Drago F, Rebora A. Treatments for pityriasis rosea. Skin Therapy Letter 2009; 14 (3). . . . . . . . . .

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