BMJ Case Reports 2018; doi:10.1136/bcr-2017-224007
  • Images in…

Pityriasis rubra pilaris: a rare inflammatory dermatosis

  1. Aoife Lally
  1. Department of Dermatology, St Vincent’s University Hospital, Dublin, Ireland
  1. Correspondence to Dr Aine Kelly, 107545606{at}
  • Accepted 19 January 2018
  • Published 11 February 2018


An 18-year-old Caucasian woman presented with a 2-week history of a pruritic rash commencing on the face and spreading distally to the trunk and limbs. There were no associated systemic symptoms. Her medical history was unremarkable and there was a family history of hypothyroidism. Physical examination revealed extensive confluent scaly erythema with islands of sparing on the trunk and scaling of the scalp. There was hyperkeratotic plugging of the hair follicles (figure 1 and figure 2). There was a waxy orange keratoderma affecting the palms and soles with associated painful fissuring …

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