Case Profile: Pityriasis Rubra Pilaris

Author: Fred Kahn MD, FRCS (C)
Source: Meditech International Inc.


Pityriasis Rubra Pilaris


  • 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


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


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