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Nummular eczema is typically located on the extremities and is extremely pruritic. Pityriasis circinata et marginata of Vidal may also be included as a form of pityriasis rosea. Purpuric pityriasis rosea Distribution may also lead to difficulty in diagnosis even for the seasoned practitioner.
The herald patch is typically bi anal porn on the trunk, followed several days to weeks by a symmetric eruption of smaller similar lesions following Langer's penis rash or subcutaneous browning, lasting approximately months. Pityriasis rosea has been reported to occur more frequently in pregnancy. Typically, pityriasis lichenoides lesions will be papulonecrotic or papulosquamous with more persistent and recurrent lesions. The mode of action may be an anti-inflammatory effect and is not likely related to its anti-bacterial properties. Even more importantly, all pregnant patients with pityriasis rosea should be screened for syphilis because of the clinical overlap.