How to treat pityriasis rosea?

  Patient: description of the condition rose furfuraceous diagnosis (main symptom, onset time): first is the right side of a mother spot born later on there are other, mainly in front of the shoulder position has a few pieces, behind also has a few pieces, sometimes will itch, sometimes to not, is in November 2008 began until now. Once in the local skin hospital to see the medicine also ate, also played the needle, did phototherapy, did the test did not find out what fungal infection, gynecology also checked no problem, are half a year is nothing effective, always repeated. I want to be able to get rid of the fungal infection and find out that there is no fungal infection, and the lab report says “no ringworm detected”.  The first hospital of Sun Yat-sen University Huangpu hospital dermatology Wu Liangcai: first of all is to clarify whether rose pity, I according to rose pity to give you some information: Definition: rose pity is a kind of self-limiting, inflammatory skin disease of unknown cause, with characteristic lesions. ? Etiology: unknown. Most scholars believe that it is related to viral infection.  Clinical manifestations 1, mostly seen in young, middle-aged. 2. Preferred season: spring and autumn. 3.Prodromal symptoms: a few have low fever, malaise, headache, sore throat, joint pain and swelling. 4. Preferred sites: trunk, proximal extremities, neck. 5. Skin lesions: ① mother spots (pioneer spots), 50-90% occur on the trunk and proximal extremities. a. Number: 1~2. b. Size: 2~5cm, nail size to egg size. c. Morphology: round or oval. d. Color: yellowish red (rose). e .Boundary: clear. f, edge: serrated. g .Surface: dry, wrinkled paper-like. h .scales: bran-like. i.Long axis of lesion: in line with the direction of the skin line (ribs). j. Central fading first, slow edge, may be ring-like ②Subspots (secondary spots) Generally appear around 20 days. a, morphological size: similar to the mother spot, but small (1-2 cm). b.Number: obviously increased, several~tens. c. Distribution: scattered and isolated. d. Episodes: appearing in batches, alternating repeatedly. 6.Self-perceived symptoms: pruritus. 7, duration of disease: 6-8 weeks can be self-healing, good prognosis. Laboratory tests: histopathology has a reference value. Diagnosis 1.Preferred season: spring and autumn. 2. Preferred sites: trunk, proximal extremities, neck. 3. Skin lesions: a, mother spot or/and child spot. b, yellow-red bran-like scaly spots. c. The edges are clear and jagged. d. The surface is wrinkled paper-like. e. The long axis of lesions is consistent with the direction of skin lines (ribs). 4.Self-perceived symptoms: pruritus (light). 5.Course of disease: self-limiting, usually not recurring.  Differential diagnosis: 1. tinea corporis, 2. seborrheic inflammation, 3. drug rash, 4. lichen planus, Treatment principle: self-limiting, symptomatic treatment, attention to hygiene. 1, antihistamines: paracetamol, cyproheptadine. 2, anti-allergic adjuvant therapy: vitc, calcium oral or intravenous injection. 3.Appropriate application of antiviral agents, antibiotics. 4.Hormone available if necessary: prednisone amount 20~30mg/d. 5.Chinese herbal medicine treatment. 6.Topical medicine: Furfurylate lotion II and III. Corticosteroid preparations: cream, liquid, ointment. 10~15% sulfur ointment. 7. The latest method at present: with the use of narrow-spectrum medium-wave ultraviolet radiation, the effect is particularly obvious.