Case Profile: Pityriasis Rubra Pilaris

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CASE PROFILE

 

Diagnosis: Pityriasis Rubra Pilaris
History:

• 10 year old female patient
• Lesions progressive over 2 years
• No etiological factors known
• Palmar aspect of hands and plantar aspect of feet involved most prominently
• Itchy, painful and generalized discomfort
• Prior treatments include many ointments, cortisone creams, periodic dressings and oral medications

Physical Examination on Presentation at Meditech Clinic:

• Several areas involved but most prominent in hands and feet
• Generalized scaling, excoriations and bleeding areas

Treatment at Meditech Rehabilitation Clinic:

• Remove dressings
• Cease the utilization of all medications
• Laser treatment 3 times per week

Progress on the Above Regime:

• Patient asymptomatic after 4 therapy sessions utilizing the BioFlex Laser System

Condition at Discharge:

• Following 12 treatments, lesions barely visible
• No medications utilized
• Follow-ups will be made regarding recurrence which is not expected

Figures:

• Fig. I to III – Initial status
• Fig. IV to VI – Intermediate stage
• Fig. VII to IX – Most recent status