Dr. Pathave Hari Shivaram
Venereology
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Patient's Query
Hello doctor,
I have had pityriasis rosea (PR) for about a week, and I am currently seven weeks pregnant. I had no other symptoms other than the rash after reading a study that found a 62% miscarriage rate when women were infected with PR during the first 15 weeks of gestation. I am obviously terrified. Can you provide me with any reassurance or advice on any testing or treatment that may be required? Thanks.
Hi,
Welcome to icliniq.com.
Thank you for giving me the opportunity to treat your skin problem. Yes, you are right. There are significant chances of miscarriage if pityriasis rosea appears in the first few weeks of gestation. Mostly miscarriage occurs when pityriasis rosea happens after HSV 6 and HSV 7 infection (according to literature). There are also other causes of pityriasis rosea other than HSV6 and HSV7. Like some drugs (medicines), vaccination, other viruses. So, if possible, provide me photographs of the affected areas of skin, which will help me better diagnose and properly plan. Did you have fever or joints pain a few days back? For viral infection (HSV 6 and 7), you can go for serum IgM, nested or RT PCR, and viral load. Also, pregnancy outcomes depend on the body surface area involvement and constitutional symptoms. The final decision about continuing pregnancy is yours. You also consult with your Obstetrician and Gynaecologist for the same.
Thank you.
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Venereology
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