Purpuric pityriasis rosea in patients with anorexia nervosa

Pityriasis rosea (PR) is an exanthematous disease associated with the endogenous systemic reactivation of human herpesvirus (HHV)-6 and/or HHV-7. Variants of PR characterized by atypical lesion morphology, eruption course, and severe symptoms have already been described, but their prevalence is pro...

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Main Authors: Giulia Ciccarese, Antonio Guadagno, Astrid Herzum, Valentina Amicarelli, Francesco Drago
Format: Article
Language:English
Published: PAGEPress Publications 2025-01-01
Series:Dermatology Reports
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Online Access:https://www.pagepress.org/journals/dr/article/view/10053
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author Giulia Ciccarese
Antonio Guadagno
Astrid Herzum
Valentina Amicarelli
Francesco Drago
author_facet Giulia Ciccarese
Antonio Guadagno
Astrid Herzum
Valentina Amicarelli
Francesco Drago
author_sort Giulia Ciccarese
collection DOAJ
description Pityriasis rosea (PR) is an exanthematous disease associated with the endogenous systemic reactivation of human herpesvirus (HHV)-6 and/or HHV-7. Variants of PR characterized by atypical lesion morphology, eruption course, and severe symptoms have already been described, but their prevalence is probably underestimated. We report herein two patients suffering from anorexia nervosa (AN) who developed a very rare form of purpuric PR. So far, no cases of PR in AN patients have been reported in the literature. In AN, impaired cell-mediated immunity may favor the endogenous systemic reactivation of HHV- 6 and/or HHV-7, causing PR. Furthermore, an increased level of the vascular cell adhesion molecule 1, interleukin 6, and tumor necrosis factor-α has been demonstrated in AN patients, which may be responsible for their increased vascular dysfunction.
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institution Kabale University
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spelling doaj-art-52e1d9d43b2c4b1896aed2eb2178ce7e2025-01-21T01:43:12ZengPAGEPress PublicationsDermatology Reports2036-73922036-74062025-01-0110.4081/dr.2025.10053Purpuric pityriasis rosea in patients with anorexia nervosaGiulia Ciccarese0Antonio Guadagno1Astrid Herzum2Valentina Amicarelli3Francesco Drago4Section of Dermatology, Department of Medical and Surgical Sciences, University of FoggiaUnit of Pathology, IRCCS Ospedale Policlinico San Martino, GenoaDermatology Unit, IRCCS Istituto Giannina Gaslini, GenoaPrivate Practice, FoggiaDermatology Clinic, Casa di Cura Villa Montallegro, Genoa Pityriasis rosea (PR) is an exanthematous disease associated with the endogenous systemic reactivation of human herpesvirus (HHV)-6 and/or HHV-7. Variants of PR characterized by atypical lesion morphology, eruption course, and severe symptoms have already been described, but their prevalence is probably underestimated. We report herein two patients suffering from anorexia nervosa (AN) who developed a very rare form of purpuric PR. So far, no cases of PR in AN patients have been reported in the literature. In AN, impaired cell-mediated immunity may favor the endogenous systemic reactivation of HHV- 6 and/or HHV-7, causing PR. Furthermore, an increased level of the vascular cell adhesion molecule 1, interleukin 6, and tumor necrosis factor-α has been demonstrated in AN patients, which may be responsible for their increased vascular dysfunction. https://www.pagepress.org/journals/dr/article/view/10053Pityriasis roseapurpuric lesionsanorexia nervosa
spellingShingle Giulia Ciccarese
Antonio Guadagno
Astrid Herzum
Valentina Amicarelli
Francesco Drago
Purpuric pityriasis rosea in patients with anorexia nervosa
Dermatology Reports
Pityriasis rosea
purpuric lesions
anorexia nervosa
title Purpuric pityriasis rosea in patients with anorexia nervosa
title_full Purpuric pityriasis rosea in patients with anorexia nervosa
title_fullStr Purpuric pityriasis rosea in patients with anorexia nervosa
title_full_unstemmed Purpuric pityriasis rosea in patients with anorexia nervosa
title_short Purpuric pityriasis rosea in patients with anorexia nervosa
title_sort purpuric pityriasis rosea in patients with anorexia nervosa
topic Pityriasis rosea
purpuric lesions
anorexia nervosa
url https://www.pagepress.org/journals/dr/article/view/10053
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