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What are the differentials for pityriasis rosea?

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Final answer:

Differential diagnoses for pityriasis rosea include tinea corporis (ringworm), sporotrichosis (rose gardener's disease), opportunistic infections like candidiasis, as well as viral infections such as roseola and fifth disease.

Step-by-step explanation:

The differentials for pityriasis rosea include various skin conditions and infections that could present with similar symptoms. Important differential diagnoses to consider are tinea corporis (ringworm), which is a type of cutaneous mycosis or fungal infection of the skin; sporotrichosis, also known as rose gardener's disease, which is a subcutaneous mycosis caused by the fungus Sporothrix schenkii and may cause skin lesions after direct inoculation through a skin wound; and opportunistic infections like those caused by Candida species, which can lead to presentations such as intertrigo or rashes.

Conditions such as roseola and fifth disease, which are viral infections presenting with skin rashes, should also be considered in the differential diagnosis, despite the fact that roseola is typically seen in young children and manifests with a pink, patchy rash that starts on the trunk, while fifth disease has a hallmark "slapped cheek" rash. Diagnosis usually involves clinical observation and may include supporting laboratory tests specific to suspected conditions.

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