The risks of pityriasis rosea in pregnancy: a review
Objective:. This review aims to consolidate available evidence, identify research gaps, and advocate for a more informed approach to the management of pityriasis rosea in pregnant individuals. Data Sources:. PubMed, Web of Science, and Directory of Open Access Journals were systematically searched b...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-03-01
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| Series: | International Journal of Women's Dermatology |
| Online Access: | http://journals.lww.com/10.1097/JW9.0000000000000191 |
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| author | Sophia Manduca, BS Christina S. Oh, BA Michael Ong, BS Shari R. Lipner, MD, PhD Miriam K. Pomeranz, MD Amy K. Bieber, MD |
| author_facet | Sophia Manduca, BS Christina S. Oh, BA Michael Ong, BS Shari R. Lipner, MD, PhD Miriam K. Pomeranz, MD Amy K. Bieber, MD |
| author_sort | Sophia Manduca, BS |
| collection | DOAJ |
| description | Objective:. This review aims to consolidate available evidence, identify research gaps, and advocate for a more informed approach to the management of pityriasis rosea in pregnant individuals.
Data Sources:. PubMed, Web of Science, and Directory of Open Access Journals were systematically searched based on the keywords “pityriasis rosea,” “pityriasis circinate,” “roseola annulate,” “herpes tonsurans maculosus,” “herald patch,” and “pregnancy” on January 25, 2024 for publications between 1950 to 2024.
Study Selection:. Studies containing outcomes data for pregnant patients with established PR were included. Studies must have been written or translated into English and published in a peer-reviewed journal. Studies which did not pertain to PR in the setting of pregnancy were excluded, as screened by two reviewers. Responses, general informational reviews, and letters to the editor without novel data were also excluded.
Results:. Eleven relevant articles were identified, encompassing data from 177 patients. Overall, 81% of patients had favorable outcomes while 19% experienced unfavorable outcomes. PR onset before 15 weeks gestation was associated with a higher rate of unfavorable outcomes (41%), including a 27% rate of spontaneous abortion (SA). Conversely, PR onset after 15 weeks had a lower unfavorable outcome rate (21%), and no instances of SA.
Conclusion:. Conflicting data exists regarding the impact of PR on pregnancy outcomes. However, PR onset within the first 15 weeks, widespread lesions, constitutional symptoms, and higher human herpesvirus 6 viral loads may increase the risk of unfavorable outcomes such as SA. Close follow-up and consideration of antiviral treatment are recommended for high-risk patients. |
| format | Article |
| id | doaj-art-7487bfc5d45a4bbcb5abce6112325680 |
| institution | Kabale University |
| issn | 2352-6475 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | International Journal of Women's Dermatology |
| spelling | doaj-art-7487bfc5d45a4bbcb5abce61123256802025-08-20T03:53:31ZengWolters KluwerInternational Journal of Women's Dermatology2352-64752025-03-01111e19110.1097/JW9.0000000000000191202503000-00005The risks of pityriasis rosea in pregnancy: a reviewSophia Manduca, BS0Christina S. Oh, BA1Michael Ong, BS2Shari R. Lipner, MD, PhD3Miriam K. Pomeranz, MD4Amy K. Bieber, MD5a The Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York City, New Yorka The Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York City, New Yorkb Department of Dermatology, Weill Cornell Medicine, New York City, New Yorkb Department of Dermatology, Weill Cornell Medicine, New York City, New Yorka The Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York City, New Yorka The Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York City, New YorkObjective:. This review aims to consolidate available evidence, identify research gaps, and advocate for a more informed approach to the management of pityriasis rosea in pregnant individuals. Data Sources:. PubMed, Web of Science, and Directory of Open Access Journals were systematically searched based on the keywords “pityriasis rosea,” “pityriasis circinate,” “roseola annulate,” “herpes tonsurans maculosus,” “herald patch,” and “pregnancy” on January 25, 2024 for publications between 1950 to 2024. Study Selection:. Studies containing outcomes data for pregnant patients with established PR were included. Studies must have been written or translated into English and published in a peer-reviewed journal. Studies which did not pertain to PR in the setting of pregnancy were excluded, as screened by two reviewers. Responses, general informational reviews, and letters to the editor without novel data were also excluded. Results:. Eleven relevant articles were identified, encompassing data from 177 patients. Overall, 81% of patients had favorable outcomes while 19% experienced unfavorable outcomes. PR onset before 15 weeks gestation was associated with a higher rate of unfavorable outcomes (41%), including a 27% rate of spontaneous abortion (SA). Conversely, PR onset after 15 weeks had a lower unfavorable outcome rate (21%), and no instances of SA. Conclusion:. Conflicting data exists regarding the impact of PR on pregnancy outcomes. However, PR onset within the first 15 weeks, widespread lesions, constitutional symptoms, and higher human herpesvirus 6 viral loads may increase the risk of unfavorable outcomes such as SA. Close follow-up and consideration of antiviral treatment are recommended for high-risk patients.http://journals.lww.com/10.1097/JW9.0000000000000191 |
| spellingShingle | Sophia Manduca, BS Christina S. Oh, BA Michael Ong, BS Shari R. Lipner, MD, PhD Miriam K. Pomeranz, MD Amy K. Bieber, MD The risks of pityriasis rosea in pregnancy: a review International Journal of Women's Dermatology |
| title | The risks of pityriasis rosea in pregnancy: a review |
| title_full | The risks of pityriasis rosea in pregnancy: a review |
| title_fullStr | The risks of pityriasis rosea in pregnancy: a review |
| title_full_unstemmed | The risks of pityriasis rosea in pregnancy: a review |
| title_short | The risks of pityriasis rosea in pregnancy: a review |
| title_sort | risks of pityriasis rosea in pregnancy a review |
| url | http://journals.lww.com/10.1097/JW9.0000000000000191 |
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