Atypical Juvenile Pityriasis Rubra Pilaris: A Case Report of Early Onset With Late Diagnosis
October 2022
in “
Cureus
”
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Studysummary This case report details a 17-year-old boy diagnosed with atypical juvenile pityriasis rubra pilaris (type 5) after presenting with persistent itchy skin lesions since age seven.
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This case report detailed a 17-year-old boy with atypical juvenile pityriasis rubra pilaris (PRP) type 5, a rare inflammatory skin condition, which was diagnosed late despite symptoms starting at age 7. The disease, characterized by itchy, photoaggravated skin lesions covering the entire body, was confirmed through a skin biopsy showing hyperkeratosis and lymphocytic infiltrates. Treatment involved isotretinoin and regular monitoring. PRP type 5 is often misdiagnosed, highlighting the need for thorough clinical and pathological evaluation, and genetic testing for CARD14 mutations is advised due to possible familial connections.