Uncommon Presentation of Pityriasis Rubra Pilaris of the Scalp: Clinical, Trichoscopic, and Histopathologic Features and Review of the Literature

    November 2024 in “ Medicina
    Michela Starace, Stephano Cedirian, Federico Quadrelli, Tullio Brunetti, Lidia Sacchelli, Cosimo Misciali, Giacomo Clarizio, Pietro Sollena, F. Tassone, Iria Neri, Bianca Maria Piraccini
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    🚨 The study is somewhat relevant as it discusses a scalp condition and its treatment, which could indirectly relate to scalp health and hair biology, but it does not directly address hair loss or androgen-related treatments.
    TLDR Recognizing scalp symptoms in PRP is crucial for proper diagnosis and treatment.
    This article presents a rare case of pityriasis rubra pilaris (PRP) affecting only the scalp in a 59-year-old female, with unique trichoscopic features such as white-silvery scales forming triangular hair casts. The study emphasizes the importance of recognizing scalp manifestations in PRP for accurate diagnosis and treatment, and includes a literature review comparing this case with existing reports. Initial treatment with clobetasol cream followed by acitretin led to significant improvement. The report highlights the need for further research into scalp-specific PRP manifestations and potential links to underlying conditions like malignancy, and suggests the potential use of JAK inhibitors for resistant cases.
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