Letters to the Editor

Case Report

Appearance of Pityriasis Rosea in Patients with Dark Skin

Am Fam Physician. 2004 Sep 1;70(5):821.

to the editor: I would like to comment on the article, “Pityriasis Rosea,”1 by Drs. Stulberg and Wolfrey in the January 1, 2004, issue of American Family Physician. Pityriasis rosea can have a distinctly different appearance on patients with brown skin or dark skin. The herald patch, as well as the diffuse rash that follows, may have a gray, dark brown, or even black appearance. There may be either hypopigmented or hyperpigmented areas visible after the lesions resolve.

SHARON A. BRANGMAN, M.D.,

AGSF SUNY Upstate Medical University 750 E. Adams St.

Syracuse, NY 13210

REFERENCE

1. Stulberg DL, Wolfrey J. Pityriasis rosea. Am Fam Physician. 2004;69:87–92.

Send letters to Kenneth W. Lin, MD, MPH, Associate Deputy Editor for AFP Online, e-mail: afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680.

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