Pityriasis Rosea with Erythema Multiforme – Like Lesions: An Observational Analysis
A 22-year-old woman patient complained of an erythematous rash over her neck, upper trunk, and upper limbs for around 12 days. She also gave history of mild pruritus in the lesions. The patient had noticed a single large lesion over her left breast around a week prior to the other lesions. On examination, we noticed a herald patch over the left mammary area measuring around 1.5 × 1 cm. Multiple erythematous papules and plaques with fine scales and few with EM-like appearance, were present over the neck, upper trunk, and upper extremities []. We diagnosed her as PR with EM-like lesions. All blood investigations were within normal limits. Scrapings from the lesions were examined in 10% potassium hydroxide (KOH), no fungal hyphae or spores were found. She responded to a 3 week course of oral Loratadine 10 mg daily and liberal use of emollients.