#pityriasis

[herpsandbirds]

Bornean Bristlehead (Pityriasis gymnocephala), EAT A TASTY BUG!!!, family Pityriasidae, order Passeriformes, Sabah, Borneo

Photograph by Liewwk WK

[mcatmemoranda]

Pityriasis alba is a common, benign skin disorder consisting of characteristic round or oval hypopigmented lesions with fine scales and occurring predominantly in children and adolescents. Most patients have a history of atopy, and pityriasis alba may be a minor manifestation of atopic dermatitis.

No treatment is required for pityriasis alba. The patches usually go away with time. Your doctor may prescribe a moisturizing cream or topical steroid cream such as hydrocortisone to treat the condition. In some cases, your doctor may prescribe a nonsteroid cream, such as pimecrolimus.

[birddoesmurder]

Just found out I have Tinia versicolor 😚✌️

[tetsunabouquet]

So I just came back from the local tanning studio as honestly I needed the boost. I feel so relaxed, I feel like I'm floating in bliss. Which is why I wanted to write this post, because I do want to talk about how the conversation surrounding tanning beds is too eurocentric. I've talked before how I have Roma heritage. This was many generations ago from my dad's side but I'm one of those special genetic resurfacing cases. It's my pet theory that because my mom has olive skin (something she inherited from grandpa), her dominant genes for a darker coloring triggered my dad's inactive Indian genes. Now lots of Indians and Roma alike will know the following term, 'Pityriasis alba', commonly referred in Dutch by the term 'Witwang' (white cheek). This is a skin condition primarily found in those with Indian heritage and to the untrained eye would look similar to vitiligo. When I was 13, I developped a severe case of it. Whilst it often forms a patch on the face (hence the Dutch term witwang), my patch was located at my right shoulder and it was big enough to cover my entire shoulder blade. The combination of it having a more unusual location, living in a predominantly white country and a lot of people not knowing that Roma are even of Indian descent led to my patch being misdiagnosed with vitiligo. Whilst most are lucky as with pityriasis alba mild cases actually go away eventually, but a severe case like my shoulder patch doesn't unless it is subjected to UV treatment. I walked around with that patch for years. Whilst I could cover it often, during the summer- especially on the beach, this wasn't possible. Whilst nobody dared to call me names like 'cow' in my face, I could ocassionally hear people whispering behind my back and looking at my patch and some seemed to shrink back under the assumption it might be contagious. It wasn't the greatest experience, that's for sure. But my mom did notice that my patch would look a little better during the summer and she always goes to tanning studios during the winer. So shortly before my 20th birthday my mom invited me to try it out. It cured my patch, because tanning beds are also UV based. We decided to go to the dermatologist, and when we told him the story he was like, "You look like you have something Indian." And then he informed me about pityriasis alba. Thank god not all Dutch doctors are unaware of non-white skin conditions. And this is why I will always defend tanning beds, because whilst it can cause skin conditions it can also cure them.

[alrustomlaser]

Pityriasis Rosea Linked to Cancer Information at Al Rustam Medical Center

Get valuable information about the interesting connection between pityriasis rosea and cancer at Al Rustam Medical Center. Our comprehensive resources highlight the latest research and expert perspectives on this association.

[uncharismatic-fauna]

Uncharismatic Fact of the Day

No, this bird doesn't have a botched dye job-- it's just naturally orange! The bornean bristlehead is named for its appearence, namely the bright orange toupe which adorn both males and females. Rather than feathers, however, this area is covered by short, bristle-like growths. The function of this patch is unclear, though it likely is a factor in female mate selection.

(Image: A Bornean bristlehead (Pityriasis gymnocephala) by James Eaton)

If you like what I do, consider buying me a ko-fi!

[etherealhoneypie]

y’all i might not be able to take pics for 3-4 weeks i’m so MAD fuck ass pityriasis rosea 😭😭

[herpsandbirds]

Bornean Bristlehead (Pityriasis gymnocephala), family Pityriasidae, order Passeriformes, endemic to Borneo and Brunei

Photograph by Paul Varney

[mcatmemoranda]

First-line therapy — Topical antifungal medications, topical selenium sulfide, and topical zinc pyrithione are effective and well-tolerated first-line therapies for tinea versicolor (table 1) [26].

Topical antifungals — Topical azole antifungals, topical terbinafine, and topical ciclopirox improve tinea versicolor via direct antifungal activity. Effective treatment regimens ranging from a few days to four weeks in length are reported in the literature [26]:

●Azole antifungals – Small randomized trials support the efficacy of various topical azole antifungals (table 2) [26]. In one randomized trial, ketoconazole 2% cream applied once daily for 11 to 22 days (mean 14 days) was superior to placebo (84 versus 22 percent achieved mycologic cure) [27]. A typical course of treatment with a topical azole antifungal is daily application for two weeks.

The shampoo formulation of ketoconazole appears to be effective with a shorter duration of therapy. The shampoo is applied to affected areas and is washed off after five minutes. In a randomized trial, a single application of ketoconazole 2% shampoo was compared with treatment on three consecutive days. Both regimens resulted in mycologic cure in approximately 80 percent of patients [28].

In accordance with the trial results, we consider both the three-day and one-day regimens for ketoconazole shampoo reasonable approaches to treatment. However, given the common location of tinea versicolor in skin sites that are difficult for patients to see and reach, the potential for environmental or patient-specific factors to influence the efficacy of treatment, and the minimal risks of treatment, we typically advise patients to treat for three consecutive days in an attempt to increase the likelihood of adequate treatment.

●Terbinafine – Topical terbinafine 1% solution applied twice daily for one week has been proven effective in small randomized trials [29,30].

●Ciclopirox – Topical ciclopirox olamine 1% cream was effective in two small randomized trials when applied twice daily for 14 days [31].

Selenium sulfide — Topical selenium sulfide exerts antifungal activity primarily through the promotion of shedding of the infected stratum corneum. In a randomized trial, application of selenium sulfide 2.5% lotion for 10 minutes for seven days was superior to placebo in achieving mycologic cure (81 versus 15 percent cured, respectively) [32].

The shampoo formulation of selenium sulfide 2.5% is often prescribed in clinical practice. Patients apply the shampoo to the affected area daily for one week. The shampoo is rinsed off after 10 minutes.

A non-prescription selenium sulfide 1% shampoo is also available, but the efficacy of this product for the treatment of tinea versicolor has not been studied.

Zinc pyrithione — In a controlled trial that included 40 patients with tinea versicolor, zinc pyrithione 1% shampoo applied for five minutes per day for two weeks was more effective than placebo for the treatment of tinea versicolor [33]. All patients treated with zinc pyrithione shampoo were successfully treated compared with none of the patients in the placebo group.

Severe or recalcitrant disease — Oral therapy is reserved for patients with tinea versicolor that is refractory to topical therapy or widespread disease that makes the application of topical drugs difficult [1,25]. It is important to note that persistent dyspigmentation is not a good indicator of failure of topical therapy. (See 'Treatment failure' below.)

Oral therapies — Oral azole antifungals such as itraconazole and fluconazole are effective for the treatment of tinea versicolor (table 1). In contrast to topical terbinafine, oral terbinafine is not effective [34]. Similarly, griseofulvin cannot be used for this condition.

Systemic therapy is not used as a first-line treatment for limited tinea versicolor to minimize risk of adverse effects. Abnormalities in liver function tests and drug interactions can occur with systemic azole antifungals. (See "Pharmacology of azoles", section on 'Adverse effects' and "Pharmacology of azoles", section on 'Drug interactions'.)

Oral therapy is not typically used for the treatment of tinea versicolor in children.

Itraconazole — Itraconazole therapy for tinea versicolor in adults is usually given as 200 mg per day for five days. Multiple randomized trials have reported mycologic cure rates between 70 and 100 percent with 200 mg of itraconazole daily for seven days, and dose comparison studies have shown similar success with treatment durations of five days [35].

Data conflict on the efficacy of a single 400 mg dose of itraconazole. In a randomized, open-label trial, a single 400 mg dose was as effective as 200 mg daily for seven days [36]. However, a low rate of response to a single 400 mg dose of itraconazole was reported in a trial that compared single-dose fluconazole and single-dose itraconazole [37].

Fluconazole — Fluconazole for tinea versicolor in adults is typically given as a 300 mg dose once weekly for two weeks [35]. In a small, uncontrolled study, 300 mg once weekly for two weeks led to mycologic and clinical cure in 75 percent of patients with tinea versicolor [38]. A dose-finding randomized trial also supports the efficacy of this regimen; 300 mg once weekly for up to two weeks resulted in mycologic cure in 87 percent of patients [39].

A single dose of fluconazole may be effective. In an uncontrolled study of 24 individuals with extensive or recurrent tinea versicolor treated with a single 400 mg dose of fluconazole, resolution of clinical disease occurred in 74 percent [40].

Other therapies — Additional topical and systemic therapies have been used for the treatment of tinea versicolor:

●Topical agents – Whitfield ointment [41,42] and sulfur-salicylic acid shampoo [43] are effective for tinea versicolor, but may cause skin irritation in a minority of patients. Small uncontrolled studies suggest that propylene glycol [44] and benzoyl peroxide [45] may also improve tinea versicolor.

●Oral ketoconazole – Although oral ketoconazole was effective for tinea versicolor in small randomized trials [46,47], life-threatening hepatotoxicity and adrenal insufficiency, along with multiple potential drug-drug interactions, have been reported with oral ketoconazole therapy, making it an unfavorable choice for the treatment of tinea versicolor. Although these adverse effects appear to be rare with the short duration of therapy used for tinea versicolor [48], knowledge of the potential for hepatotoxicity and the wide availability of safer oral antifungal agents led the European Medicines Agency to release a 2013 recommendation that marketing authorizations for oral ketoconazole be suspended throughout the European Union [49]. The US Food and Drug Administration (FDA) simultaneously removed its indication for use of the drug for dermatophyte and Candida infections based upon risks for hepatotoxicity, adrenal insufficiency, and drug-drug interactions. The FDA also recommended that oral ketoconazole should not be used as a first-line agent for any fungal infection. The indications for treatment of blastomycosis, coccidioidomycosis, histoplasmosis, chromomycosis, and paracoccidioidomycosis have been retained only for patients in whom other antifungal treatments have failed or are not tolerated [50]. (See "Pharmacology of azoles", section on 'Adverse effects'.)

In 2016, following an FDA safety review that found continued prescribing of oral ketoconazole for fungal skin and nail infections, the FDA released a drug safety communication warning healthcare professionals to avoid prescribing oral ketoconazole for fungal skin and nail infections [51]. The risks of oral ketoconazole treatment outweigh the benefits.

Treatment failure — Hypopigmentation and hyperpigmentation can persist for months following successful treatment of tinea versicolor, and may cause patients to assume incorrectly that treatment has failed. The presence of scale plus a positive potassium hydroxide (KOH) preparation is considered indicative of active infection.

Resistance to therapy, frequent recurrence, or widespread disease should prompt consideration of an immunodeficient state (table 3).

[cameroneatsdirt]

Itchy Spearm :pensuns:

something something pityriasis rosea

This is definitely not linked to para’s post what are you talking about

[mackenzie-00s]

So in today's post I'd like to mention that I will be mentioning some conditions or rather an injury. It actually resembles Pityriasis Rosea ( you can search it up for research purposes if you'd like)

It's a permanent injury I got when I was about in my tens . I have two conditions that I sadly have to live with. So I will be using for my insert oc , since I didn't have inspiration 🤧

1.Costochondritis is the inflammation of the cartilage that connects the ribs to the breastbone (sternum). It causes localized chest pain, which may be sharp or aching and often worsens with certain movements, deep breaths, or pressure.

2.Rib Malunion occurs when a fractured rib heals improperly, leading to abnormal alignment of the bone. This can cause chronic pain, discomfort, and deformity. Malunion often results from inadequate immobilization of the rib or severe trauma, which prevents the bone from healing in its correct position.

It's pretty hard to deal with but with medications and some exercise I do pretty well👍

Let's get to the story...

______________________________________________

Late night talks..

The night for Robin was always a time of relaxation and rest..from all the bustle and rustle of the day.. during her years of running away from the marines it was the night that she awaited the most so she could finally take a break from all of the days events..but now on the thousand sunny she could be at peace , now that her friends saved her from CP9 at Enies lobby and she didn't didn't have to live knowing the fate of death would meet her soon..for now at least. And she even got herself a lover.. everything was going well for her .

The night and it's serenity ,the peace it carried... everything was perfect..the crew getting ready for bed after a long day..but for robin she could only be at peace with her lover.. Sammy who had. Sammy unlike all the other crew members always stayed or just hung out with robin when she first joined the crew.. always sticked with her even if she didn't talk back..but he didn't take those reproaches he decided to stay no matter what..to the point he was able to stay engraved in her heart.

Robin was putting her books back after a nice day

Of reading..she had found a interesting novel at the last island they had gone too..her train of thoughts cut off when she heard a knock on her door..

"Come in ." She said not really paying attention to the person at the door and more to her books..ever since she has been with this crew she has learned to put her guard down..or maybe dating Sammy ..or maybe both..she chuckled to herself at the thought..

Sammy then entered and said " Hey , you done?"

He said walking to her to see what she was doing.

He looked over her shoulder.

Robin chuckled and said " almost just be a little patient dear." she said putting the books on the shelf.

He groaned and sat on the library couch a pout on his face. Robin chuckles , shaking her head " never the patient one are we ?"

He mumbled something under his breath, but robin was able to hear it..years of having her guard up for so long , and never letting it down , would explain it all...in his mumbled words robin was able to hear a little "I don't want to wait." She giggles sprouting a hand from the wall petting his head. "I know you don't like being patient love, don't worry I'm done anyways... sorry for keeping you waiting."

She made the hand disappear, the beautiful cherry blossom petals gracefully falling on his blond hair.. she took a moment to admire the pink petals, she chuckles, it looked cute on him. Having the results of her power which she usually used to defend and protect herself, commiting crimes, those pink beautiful petals that always stayed behind on the crime scene..a hint of her presence. To see them on his head..it made her.. blissful, happy , proud , endeared all at once.

His pout replaced with a look of curiosity "what?"

He asked unaware of the petals on his head.

"Nothing." she said, trying her best to not giggle or do anything of the sort. "How about we go take a bath hmm?"

She said sitting next to him caressing his cheek.

He leaned in , like a pup seeking love from it's master. "A bath? Why not " he smiles. " Me and Zoro had a pretty rough work out today..I wouldn't mind a nice warm bath before bed.."

She smiled knowing how hard he worked and trained to protect her and the rest of the crew.

She hummed softly , rubbing back in soothing circles his back knowing he might be a little sore.

" You had a hard day didn't you?" She stood up taking his hand softly helping him stand up

" I have a nice shampoo i bought yesterday with nami at the island we docked at , it's lavender scented." She said running a hand up his chest.

He smiled "does that mean I'll smell just like you?"

He said enthusiastically.

She chuckled " well I just said it was new , but since we're taking a shower together..we will smell the same." She said playing with the collar of his shirt.

His smile never faltered " well then, aslong as I get to smell like you." He said.

they headed to the bathhouse of the thousand sunny. Robin opened the water so it could fill up the tub.

She then spoke "I'll be back I have to go grab some stuff then I'll be back." She headed to the door and looked over , taking his form and smiling to herself. She then went to their shared room and went in her drawer looking for bath salts and the new shampoo she had mentioned earlier. Once those objects collected she headed back to bath house.

When she made it there Sammy was already getting undressed , his bare back facing her. She couldn't help but admire her lovers body, the scars, every line and contour or his body.. to her he was perfect, even with his imperfections and flaws..

He turned around and looked at her " hey , I've been waiting for you."

She smiled " yeah I'm back, with what I was going to take.." she then started mixing the bath salts and a nice lavender bath bomb that made the bath smell nice..she mixed the every using her hand to feel if the bath was warm enough.

She then turned around to tell him that he could get in , when a familiar sight met her. The familiar red swollen spot that resided on his ribs. Samuel had a permanent injury on ribs , that he got when he was little..or so he told robin. And Robin jas noticed how that injury makes him uncomfortable. Whether it's when they wake up in the morning after a long night, and he stretches to shake off the remaining envy of sleep , and how his yawn would be short cut of by a hiss or a wince. It all broke her heart to know that her lover would have to live like this for the rest of his life and she couldn't do anything about it. But her thought were cut off when she realized she had been staring at him for to long .

He then spoke "you seem a bit distracted, what's going on?" He asked.

She shook her head and smiled " it's nothing, I was just thinking about something." She said trying to maintain a neutral tone.

He didn't look convinced, he look down at himself following where her gaze was situated he then saw what the problem was..he sighs and then spoke again " it's about the injury isn't it?"

She sighed her attempt at keeping cool failing, and she spoke " it is..I just can't shake of the idea of you being in pain all the time..and theres nothing I can do to stop it."

He smiled taking her hand and placing it on his injured ribs. Robin breath hitched at the feel of the warm , swollen, and damaged flesh. She softly ran her fingers over the edges of it , making him a little tense , but he relaxed a bit after. Robin then spoke out of guilt "did I hurt you?" She said taking her hand away from the damaged flesh, but he put it right back on it keeping her hand firmly there.

He then spoke " no you didn't hurt me, I know you would never do it anyway." he smiled at her " you should take worry so much about me robin..I'm used to the pain..and I have to live with it whether I like it or not..it hurts.. but your touch numbs the pain.."

Robin at his words felt a warm feeling in her heart but she couldn't really tell what it was. They sat there for awhile until robin spoke her voice barely a whisper " the bath is getting cold..why don't you go in."

He nodded standing up and taking of the rest of the garments that covered his body..robin turned around so she could let him undress..she finally turned around when she heard the sound of him entering the bath and the water splashing.

It was now her turn to undress..she smiled as she saw him also taking his turn to turn around. She then started unbuttoning her shirt and taking off her pants.. leaving her in her black undergarments..she loved that he respected her privacy ,but sometimes she wished he would atleast show some want or more specifically..desire for her. She put those thoughts away and took off the rest of her garments leaving her bare..she entered the bath attaching herself to him..she layed her head on his chest.. enjoying the hard but soft skin..

She then spoke " this is nice." She said a content smile on her face .

He nodded and add "yeah..it is." He said , his hand rubbing gentle and soothing circles on her back.

To reciprocate she softly ran her fingers over his injured rib , feeling the swollen muscle there. She admired how strong he was to even wake up every day and deal with the pain... her emotions welled up and she couldn't help but give the damaged flesh a tender, lingering kiss..to her suprise,he didn't flinch, hiss, wince, or even jerk up..he stayed still...maybe he was just staying still because it was her..but she hoped and she tried to believe in what he told her..she wanted to believe that she was the reason the pain numbed away..that even with her priceless kiss, she could kiss away the pain he felt..

She kept her hand on his injury.. gently drawing patterns on it..she remembers reading books on these type of injuries..and borrowing some of choppers medical books to learn on it..his injury was red.. swollen..warm.. the red edges shaded perfectly with his tan skin color. He always described the pain as sharp and it stung..and on some days he described it as dull and sore. She really wanted to relief the pain for him.

She then thought of an idea, and spoke " you know...I could ask chopper if we could have an appointment to check out on you?"

He hummed in thought, and said " why not..I have been feeling some soreness on my rib..some pain killers could help."

She then spoke " pain killers seem like a fast way to get rid of it..but it's not a good idea..I prefer you use more practical ways to get rid of the pain..even if for just a few."

She then added " you could try yoga for instance, I read that training your rib muscle would stretch them and you wouldn't feel so strained ."

He then chimed " I do train my muscles, matter fact I train everyday with zoro-"

She contradicted " not training with dumbbells, Sammy. Training with more delicate methods, not just punching, swinging, and lifting things..that strains your injury and that's why you always come complaining to me."

He brushed it off by saying" pfft I feel completely fine after a work out, and I don't complain I just..."

She skeptically looked at him " you just what?"

He then gave up , and his shoulders slumped..he spoke "fine I'll take a break , and do yoga." He said the last word with disgust.

Robin chuckled at his stubbornness he could be persistent..but never with her. And thats one of the things she loves about him.

Robin was greatful for moments like these..the calm serenity of the night. They're casual toe keeping banter. And amongst all of these her favorite..his presence..a calm grounding presence he had..the one thing that ground her and let her guard down.

Robin then thought, by this time a few years ago before she joined the crew she'd be probably be running away from marines or people shed betray..or resting on a wall after a long day of running away.. because indeed the night was the on time she could let herself rest half of the weight on her shoulders slipping..but never falling..but with him..she could throw it all.

[lordgolden]

you probably already thought of this and not knowing anything about your condition but could it be an allergic reaction

anyway i hope you feel better soon 🙁 rashes suck

it’s not an allergic reaction sadly bc then I could make it go away. it’s a virus called pityriasis rosea ✊😔 thank you! 💖

[alrustomlaser]

Microdermabrasion By Crystal | Dr. Kamil Al Rustom Skin & Laser Centre

Microdermabrasion: this relatively painless, non-surgical technique may be used to freshen and rejuvenate the skin by using of a minimally abrasive instrument to gently sand the skin, exfoliating the thicker, uneven outer layer and relive a fresh younger looking skin with a healthy glow.

Know more about Microdermabrasion By Crystal

[owlsoap]

the human body is so weird sometimes. pityriasis rosea is this skin condition you can suddenly develop out of nowhere that may or may not be caused by a virus (doctors aren't quite sure) that starts with regular cold/flu symptoms, then you get this random giant round patch of flaky dry skin somewhere on your body, then like a week or two later it spreads basically overnight into like a rash all over your torso that makes it look like you suddenly have chicken pox. and there's no cure and you just have to wait 6-8 weeks for it to clear up on its own :/