TY - CHAP M1 - Book, Section TI - Chapter 24. Pityriasis Rubra Pilaris A1 - Bruch-Gerharz, Daniela A1 - Ruzicka, Thomas A2 - Goldsmith, Lowell A. A2 - Katz, Stephen I. A2 - Gilchrest, Barbara A. A2 - Paller, Amy S. A2 - Leffell, David J. A2 - Wolff, Klaus PY - 2012 T2 - Fitzpatrick's Dermatology in General Medicine, 8e AB - |PrintPityriasis Rubra Pilaris at a GlanceA papulosquamous disorder of unknown etiology that often progresses to erythroderma and causes a disabling keratoderma of the palms and soles.The disease is subclassified into six types including both hereditary and acquired forms.The typical features of pityriasis rubra pilaris include follicular hyperkeratosis and a reddish orange, scaling dermatitis with islands of normal skin.Confusion with psoriasis presents the major problem in diagnosis, particularly in early phases of the disease.Histopathological examination reveals hyperkeratosis, alternating vertical and horizontal parakeratosis, and a mild superficial perivascular lymphocytic infiltrate.No single therapy is universally effective, and some cases do not respond to multiple therapies. The most successful treatment options are retinoids, photochemotherapy (PUVA), and antimetabolites (methotrexate). SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/25 UR - accessmedicine.mhmedical.com/content.aspx?aid=56028015 ER -