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.

Cureus
|May 11, 2023
PubMed

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.

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