Atypical Juvenile Pityriasis Rubra Pilaris: A Case Report of Early Onset With Late Diagnosis

    October 2022 in “ Cureus
    Bakr A Albrakati, Ibrahim A Alshareef, Waseem Alhawsawi, Khalid Al Hawsawi
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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.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    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.
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