Related Experiment Video
Updated: Jul 30, 2025

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Misdiagnosed Pityriasis Rubra Pilaris Successfully Managed With Isotretinoin: A Case Series
Nayla Al Khalifa1, Manal Alsabbagh1, Mazen Raees1
1Dermatology, King Hamad University Hospital, Busaiteen, BHR.
Abstract:
Being a rare inflammatory, hyperproliferative dermatosis, diagnosing pityriasis rubra pilaris (PRP) can be a challenge to many clinicians. Our case reports aim to demonstrate that PRP is frequently diagnosed and managed as atopic dermatitis (AD) and that distinguishing features on dermoscopy, and biopsy can help diagnose this rare disease. The study also aims to show that PRP can be successfully treated with Isotretinoin. Our case series aims to describe two cases of PRP, initially diagnosed as AD and managed with topical corticosteroids. Being the first case series in the literature to describe the incidences of diagnosing PRP as AD portrays the significance of utilizing dermoscopy and biopsy as tools to confirm this diagnosis for appropriate management. Although PRP is a rare diagnosis, dermoscopy and biopsy can help confirm the disease. Management with isotretinoin will most likely have successful outcomes in those patients.
Insights
Diagnosing pityriasis rubra pilaris (PRP) is challenging, often mistaken for atopic dermatitis (AD). Dermoscopy and biopsy aid diagnosis, with Isotretinoin showing successful treatment outcomes for PRP.
Area of Science:
- Dermatology
- Rare Diseases
- Inflammatory Dermatoses
Background:
- Pityriasis rubra pilaris (PRP) is a rare inflammatory dermatosis.
- Accurate diagnosis of PRP can be challenging for clinicians.
- PRP is frequently misdiagnosed as atopic dermatitis (AD).
Observation:
- This case series describes two patients with PRP initially diagnosed and treated as AD.
- Patients were managed with topical corticosteroids for presumed AD.
- Distinguishing features were noted upon further examination.
Findings:
- Dermoscopy and biopsy are crucial tools for confirming PRP diagnosis.
- Differentiating PRP from AD is essential for appropriate management.
- Isotretinoin demonstrated successful treatment outcomes in these PRP cases.
Implications:
- Improved diagnostic accuracy for PRP through dermoscopy and biopsy.
- Timely and appropriate management of PRP can lead to better patient outcomes.
- Isotretinoin is a viable and effective treatment option for pityriasis rubra pilaris.
Related Concept Videos
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Changes in Skin Color: Clinical Perspectives
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
Pulmonary Tuberculosis V
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Nephrotic Syndrome II : Assessment and Medical Management
Myocarditis IV: Nursing Management
Chronic Pancreatitis II: Collaborative Care
Assessment:

