folliculitis wikem. In rare cases, the infection responsible for folliculitis may spread deeper within the skin, or into. folliculitis wikem

 
 In rare cases, the infection responsible for folliculitis may spread deeper within the skin, or intofolliculitis wikem  Oblique (mortise) Best for evaluating for unstable fracture or soft tissue injury

Ottawa Ankle Rules (sen 96-99% for excluding fracture) 3 views: AP: Best for isolated lateral and medial malleolar fractures. The second case of folliculitis occurred in a 59-year-old white male with locally advanced epidermoid esophageal cancer, who was treated with the aforementioned weekly paclitaxel schedule. Infection may be stubborn and persist for months or years. 8 & 9: Upper incisors. Clindamycin. What does skin cancer look like? Learn more about how to spot it and begin getting treatment early on. Often in a "dripping" pattern or with hand-prints. In approximately 20% of patients, the most common organism isolated is Proteus species. Non-infectious lymphangitis much less common, typically due to malignancy. Folliculitis is the inflammation of hair follicles due to an infection, injury, or irritation. Growth of stiff hairs into the skin may cause chronic low-grade irritation or. So, this herb can be consumed to fight the folliculitis infection. Inflammation and bacteria in hair follicles cause pustules to form. Anorectal abscess; Bartholin gland abscess; Pilonidal abscess; Scrotal abscess; Necrotizing soft tissue infections. Pain. Depending on the etiology and chronicity of the condition, histologic examination reveals various populations of inflammatory cells around the pilosebaceous unit. Pityrosporum folliculitis (PF) is an inflammatory skin disorder that typically manifests as a pruritic, follicular papulopustular eruption distributed on the upper trunk of young to middle-aged adults. Berikut ini beberapa gejala yang sering terlihat. These stones cause the majority of all biliary tract problems, and depending on where the stone become impacted, specific problems occur. g. The perinychium includes the nail, the nailbed, and the surrounding tissue. It is one of the causes of folliculitis. Ceftriaxone 500 mg IM in a single dose PLUS. Cellulitis is usually a bacterial infection involving the inner layers of the skin. The disease may strike any part of the skin. 05units/kg/hr per local protocol) When BS <250mg/dL, halve the rate of infusion to 0. Smoking. 2 Dermatology Nomenclature. The main difference is that acne is a clogged or infected pore, while a folliculitis bump is actually an infected hair follicle. Simple hair follicle scrotal wall abscess. Folliculitis; Hidradenitis suppurativa; Skin abscess. Bradycardia. Ear anatomy. Two types: Anaerobic infection (clostridial and nonclostridial) Meleney's synergistic gangrene. Children and adolescents have a slightly wider joint space. 70% of patients with diverticulosis remain asymptomatic. Background. Folliculitis is defined histologically as the presence of inflammatory cells within the wall and ostia of the hair follicle, creating a follicular-based pustule. Pityrosporum folliculitis (PF) is an inflammatory skin disorder that typically manifests as a pruritic, follicular papulopustular eruption distributed on the upper trunk of young to middle-aged adults. PE is an independent predictor of reduced survival for ≤3 months. [3]Background. 3. Background. Pityrosporum folliculitis was first described in 1969 by Weary et al 1 and noted to be an acneiform eruption associated with antibiotic use. Most often due to ethmoid sinusitis. May also be due to orbital trauma, endophthalmitis, infection from teeth / middle ear. 80% of lower GI bleeding will resolve spontaneously [citation needed] Cause of bleeding found in <50% of cases [citation needed] Diverticulosis cause majority, other conditions include colitis, polyps, colorectal cancer, hemorrhoids, anal fissures. X3 active in vitro, but not clinically effective for Group A strep pharyngitis or infections due to E. Inflammatory condition involving the apocrine gland-bearing areas of skin, characterized by recurrent painful draining nodules. 5437 or email us. Phenytoin (Dilantin) 20mg/kg divided in maximum doses of 400mg every 2 hours. This page was last edited 17:15, 13 October 2014 by. Make a linear incision (along skin tension lines) over the center of the abscess cavity. Risk factors include tightly curled hairs and certain keratin. Folliculitis is an infection of the hair follicles. Allergic Reactions. Once in the space, remove the clamp. Cardiac. Scale /flaking. Mild rashes clear up in a few days without medical treatment. Clean the area with warm water and soap twice a day. Tuck end of catheter into the vagina. Sweet's syndrome. Signs and symptoms include an area of redness which increases in size over a few days. Triad: Recurrent oral aphthous ulcers, genital ulcers, and uveitis. Folliculitis is a clinical diagnosis so diagnosis is usually based on history and physical examination. Kingae (common in daycare population) DM or vascular insufficiency. Folliculitis; Hidradenitis suppurativa; Skin abscess. Sporotrichosis. As the rash gets worse, the bumps get bigger—up to 3 centimeters in diameter. Over time, this can cause keloidal scarring which looks like hard. 2 Universal Web App. 2014;59(2):e10-e52; ↑ 2. Anorectal abscess;. Wrap with sheet or pelvic binder: Place pelvic binder over greater trochanters. Levofloxacin 500 mg orally once daily for 10 days. We need you! See something you could improve? Make an edit and help make WikEM better for everyone. Skin: Subcutaneous nodules, pyoderma gangrenosum, cutaneous thrombophlebitis, pustular acne-like folliculitis. Stage 2 (months 3-9) "Freezing stage". CO inhibits oxidative phosphorylation. The classic clinical findings of superficial folliculitis are folliculocentric, inflamed papules and/or pustules on hair-bearing skin ( picture 1A-C ). Often abbreviated as ANUG. Erythema may take 1-3 days to show up. Hospital Acquired or Ventilator Associated Pneumonia. If you have human immunodeficiency. Malassezia (formerly known as Pityrosporum) species are members of human cutaneous commensal flora, which are associated with a wide spectrum of clinical manifestations from benign skin conditions, such as tinea versicolor and folliculitis, to fungemia in the immunocompromised host [ 1-4 ]. . aeruginosa skin, soft tissue, and bone infections will be reviewed here. ; The lunula is that white semi-moon shaped proximal portion of the nail. button battery) [1] Esophageal irritation can be perceived as foreign body. Folliculitis develops when the hair follicle is clogged, an ingrown hair causes blockage and irritation, or the hair follicle is infected by bacteria, fungi. Can take weeks to heal. Hand and sole of foot lesions. Fever. Bacteria or fungi get trapped in the follicles, which swell up into red or pus-topped bumps. Skin. Being the panacea for a number of health issues, apple cider vinegar is also an effective remedy to treat folliculitis. 5mg/kg IV q8hrs. Perianal abscesses typically do not cause fever in immunocompetent individuals. Creams, shampoos or pills to fight fungal. Signs of folliculitis are a superficial pustule or inflammatory nodule surrounding a hair follicle. Ceftriaxone 1g (50mg/kg) IV once daily x 10 days OR. Folliculitis can occur anywhere on. The role of anticholinergics in acute asthma treatment: an evidence-based evaluation. Other people who used the hot tub may have the same rash. Pseudofolliculitis barbae predominantly affects Black men. A score > 6 has PPV of 92% and NPV of 96% for necrotizing fasciitis. [3] Asymptomatic or painful and tender erythematous papules and pustules may form around. At least 100,000 deaths per year may be directly or indirectly related to DVT and PE. Pruritus or mild discomfort. Folliculitis and mild furuncles may go away with no treatment. 1 Rash Red Flags [1] 1. [2] [3] This can lead to ingrown hairs, scarring, and skin discoloration. The acceptable degree of ST elevation in V2 and V3 changes based on age and gender. Gejala dari folikulitis bisa bermacam-macam. [1] It occurs when hair curls back into the skin after shaving, causing inflammation, redness, and bumps. Feed the chest tube until all the holes are. Pus-filled blisters around hair follicles. [2] Most mild cases of folliculitis will eventually go away on their own. Malassezia furfur is a saprophytic fungus that is part of the normal cutaneous microflora of adults. Perirectal abscesses often accompanied by fever, leukocytosis. This is so common that there’s a condition called “hot tub folliculitis. Mainly disease of children, age 2-5 most common. Necrotizing fasciitis; Necrotizing myositis;. Ingrown Hair. Superficial bacterial folliculitis – The most common form of folliculitis, this particular condition is usually caused by the bacteria Staphylococcus aureus. Menometrorrhagia: excessive irregular vaginal bleeding. [1] : 252 [2] The irritation is caused by a deep infection of hair follicles, often by species of Staphylococcus or Propionibacterium bacteria. Tender inguinal lymphadenopathy may be. Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. PFB is usually characterized by small, painful papules and pustules, but it may progress to scarring and keloid formation in some individuals. Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. The word folliculitis describes inflammation of hair follicles and may happen anywhere on the body. Found on buccal mucosa, tongue, soft palate and gingiva. Primarily in elderly, nursing home or young patients with neurological impairment, chronic opioid use. Negative side effects of waxing can include uncomfortable problems like pain, ingrown hairs, breakouts, and infected hair follicles. In most cases, the main symptoms of folliculitis are: Groups of small red bumps like pimples around hair follicles, some with white heads. Two types: Anaerobic infection (clostridial and nonclostridial) Meleney's synergistic gangrene. To do this, soak a clean cloth in warm water and wring out the excess moisture. Folliculitis. Peak in 5-15yr old [1] Rare in <2yr of age [1] Accounts for only 15-30% of pharyngitis [1] Caused by S. Be thicker under swimsuit areas where the water was in contact with the skin for longer. α-2 agonist, BP effects within 30-60 min after PO dose. It usually appears as raised, spongy lesions, and typically occurs in children. While folliculitis often. Superficial bacterial folliculitis – The most common form of folliculitis, this particular condition is usually caused by the bacteria Staphylococcus aureus. Intubation. Common materials based on inflammatory reactions. + suprapubic tenderness. Hand and foot lesions in an adult. 3 Problems. Antihistamine for pruritus. Erythema Multiforme. These bacteria grow in warm,. Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. If microperfs become infected/inflamed, can lead to diverticulitis. Follicular occlusion may be a key pathogenic event in the. Swelling, tenderness, and erythema of eyelids and superficial tissues surrounding the orbit. Reduced CNS sympathetic flow, decreasing SVR, HR, BP; no renal blood flow changes; tolerance/tachyphylaxis develop quickly. Clinical Features. Agent Oral Parenteral Step1. 1 General; 2 Adult Dosing. Load 800 mcg over 2 min (may start at 100 mcg/min, then titrate rapidly to 400 mcg/min for 2 min) Then start maintenance at 100 mcg/min, titrate up as needed. If you feel unable to isolate the above structures from the abscess site, it. Vinegar. 05units/kg/hr IV OR give subQ 0. This patient presents with symptoms concerning for acute CVA versus TIA. Orbital cellulitis. WE NEED YOU! Please fill out this brief <5 minute survey to guide WikEM's development of pediatric emergency resources:. Folliculitis is a common skin condition that can impact men and women. Inflammatory colitis related to increased intraluminal pressure from impacted fecal material in the colon. Select probe. Infected hairs easily fall out or are removed by the patient, but new papules tend to develop. Typically affects younger men and adolescents who have just begun to shave. WikEM, The Global Emergency Medicine Wiki, is the world's largest and most popular emergency medicine open-access reference resource. Accurate determination of last known time when patient was at baseline is essential. 1. Fever and rash (Redirected from Fever and Rash) Contents. Facial pain or pressure. No specific therapy for most; self-limited;. At first it may look like small pimples. Patients should remain upright or reverse. Submandibular ultrasound may be superior to intraoral ultrasound when limited by trismus or pain. However, along with pain, folliculitis tends to involve more “itch,” while acne is less commonly described as “itchy”. Infectious disease. Effects will typically be seen within 6 hours of ingestion with the exception of sotalol which can have a delayed and prolonged toxicity. Folliculitis; Hidradenitis suppurativa; Skin abscess. Vesiculobullous rashes. The problem results when highly curved hairs grow back into the skin causing inflammation and a foreign body reaction. About WikEM; Disclaimers; This page was last edited 23:45, 31 May 2022 by Ross Donaldson. [1] It is usually associated with Group A (beta-hemolytic) Streptococcus (abbreviated GAS). Penetrating trauma to the lower third of the face frequently requires intubation or a surgical airway [1] Place a protective shield over an eye suspected to have a ruptured globe. Symptoms of folliculitis are mild pain, pruritus, or irritation. Treatment of fluctuating boils often requires drainage of the lesion, and for severe infections systemic. Typically does not involve the lobule since this contains no cartilage. 1. ; The germinal portion is proximal. Some folliculitis may resolve spontaneously, but others may progress to boils without treatment. However, it's possible to speed this process by taking good care of the infected area. Folliculitis; Hidradenitis suppurativa; Skin abscess. Signs of folliculitis are a superficial pustule or inflammatory nodule surrounding a hair follicle. The condition can be itchy, sore and embarrassing. Folliculitis is a skin disorder involving the inflammation of hair follicles. 5437 or email us. Folliculitis. It most frequently occurs in the peritrochanteric region along the proximal lateral thigh, such as in this CT scan. Worsening pain around bowel movement, with decreased pain post rectal evacuation. ; Causes of folliculitis include bacteria, fungi parasites, chemicals, and drugs. 1 to 0. 5mg/kg IV q8hrs. org. Family physicians frequently treat bacterial skin infections in the office and in the hospital. For persons weighing ≥150 kg, 1 g of ceftriaxone should be administered. Brief prodrome with low fever, anorexia, sore mouth. Folliculitis is a skin problem that happens when you get bacteria or a blockage in a tiny pocket in your skin called a hair follicle. A systematic review of the best evidence on the available treatments was needed. Contents. Malassezia folliculitis results from overgrowth of yeast present in the normal cutaneous flora. Folliculitis; Evaluation Workup. Clinical Features Folliculitis Papules and pustules on an erythematous base Located around a hair follicle Pruritus or mild discomfort Differential Diagnosis Skin and Soft Tissue Infection Cellulitis Hand cellulitis Facial cellulitis Orbital cellulitis Erysipelas Lymphangitis Folliculitis Hidradenitis suppurativa Skin abscess Anorectal abscess Folliculitis; Hidradenitis suppurativa; Skin abscess. If possible, sweep these structures out of the way. ↑ Rodrigo GJ, Rodrigo C. Chemosis. 5-2 g/day. Anal chancres appear ~2-6 weeks after intercourse, are often painful. It has antiseptic and antibacterial properties that banish the bacteria causing the infection. It should be noted that both the methicillin. 1. It rarely causes more severe problems. Target lesions with “three zones of color” are the hallmark of EM. Cephalexin 500mg (6. Folliculitis is a common skin condition that happens when hair follicles become inflamed. There may also be drainage of fluid, but rarely a fever. 1 WikEM. Local fungal infection caused by the Candida genus. Ottawa Ankle Rules (sen 96-99% for excluding fracture) 3 views: AP: Best for isolated lateral and medial malleolar fractures. 2. Non-toxic. Ceftriaxone 50mg/kg IV once daily OR Cefotaxime 50mg/kg IV three times daily, PLUS. This condition may look like acne, often starting out as small red bumps. Occasionally, it extends onto the scalp. Contents. Most cases of folliculitis go away without treatment. About WikEM; Disclaimers; This page was last edited 22:44, 10 September 2020 by Ross. Nodules are a feature of deep, follicular inflammation. org These lumps can be red, pink, or blue. Hot tub folliculitis most frequently is an isolated disease; however, it can cause epidemics. Itch, pain, and a burning sensation are. Intermenstrual bleeding: variable amounts between regular menstrual periods. Both apple cider vinegar and white vinegar are often used to help relieve folliculitis. 1. Its emergency medicine knowledge base has thousands of quick problem-specific notes to help you care for patients, which is one of the reasons it has been downloaded by more than 100,000 users and is. 2. They may also look similar to those of acne. Anda mungkin tidak merasakan apapun atau terkadang infeksi ini menyebabkan gatal pada kulit. Staphylococcal scalded skin syndrome. Dentoalveolar Injuries. Unstable. Neem Leaves. Boils (also referred to as furuncles ) are pus-filled lesions that are painful and usually firm. [5] People with acne tend to have blackheads and whiteheads, that are medically termed “open and closed comedones,” respectively, and this is a key characteristic of acne. Kerion or kerion celsi is an acute inflammatory process which is the result of the host's response to a fungal ringworm infection of the hair follicles of the scalp (occasionally the beard) that can be accompanied by secondary bacterial infection(s). 6 mg total. Sign/symptoms similar to pyelo ( fever, CVAT, dysuria) Occurs in setting of ascending infection with obstructed pyelo. It most often appears on the outer sides of the upper arms. After receiving two doses of paclitaxel, the patient developed follicular papules and pustules on the forehead, cheeks, chin, and upper chest; bacterial. Hydrocortisone topical. Associated with bacteremia in up to 30% of infants 4-8wk of age. faecalis. 1 Dermatoses, steroid-responsive; 3 Pediatric. Call your healthcare provider right away if you develop fever or if symptoms worsen. The term folliculitis barbae is inflammation of hair follicles in the beard area (‘barba’ is the Latin word for beard). This condition may look like acne, often starting out as. Rinse the razor after each stroke. A vaginal boil is a pus-filled bump that develops when a hair follicle becomes infected. Breakouts. Many have been documented in the past. Rarely needed but if so, use tube that is one half size smaller than normal for age/size of patient. Adding a cup of apple cider vinegar to a warm bath may help fight the bacteria that cause folliculitis and keep the skin on the buttocks clear. Arch Pediatr Adolesc Med. 1 mg q1 hr PRN, max 0. Oral corticosteroids such as prednisone 50mg PO daily. , boil) is an infection of the hair follicle, but unlike folliculitis in which the infection remains in the epidermis, the inflammation in furuncles extends deep into the dermis. Objectives: To assess the effects of interventions (such as topical antibiotics, topical antiseptic agents, systemic antibiotics, phototherapy, and incision and. Rare infection that occurs in postop patients. The general principles of antimicrobial treatment of infections caused by P. The superficial type involves part of the follicle, and the deep type involves the entire follicle and is usually more severe. Then apply the paste on the affected or infected part of the skin. It is often worse in areas where a swimsuit held water up against the skin. In-hospital mortality of 5-10% for ischemic stroke and 40-60% for hemorrhagic stroke. Symptoms. Turn off the stove, remove the pan from heat, and let it cool so it’s warm to the touch — not too hot. In women: 1. Tense and clear vesicles/bullae on head, trunk, mucosa. 1 g, if weight ≥150 kg. 678. Hot tub folliculitis is a skin infection of the hair follicles that appears after coming into contact with bacteria contaminated water. Painful. Medically Reviewed. Panniculitis is a group of diseases whose hallmark is inflammation of subcutaneous adipose tissue (the fatty layer under the skin – panniculus adiposus ). Clindamycin 10mg/kg IV PO four times daily OR. Also known as “razor bumps” or “shaving bumps”, it can also occur on any site where hair is shaved or plucked, including the axilla, pubic area, and legs. It can develop anywhere that hair grows, but it most commonly develops on the neck, thighs, buttocks, and underarms. A furuncle (i. Levofloxacin 500mg PO/IV daily x 10 days OR. Pressure may cause ulceration and ultimately perforation. Continuous >12 mo in duration. Coxsackie B virus associated with dilated cardiomyopathy. HBO 2. Occasionally used, primarily for sedating effect (itching in poison ivy dermatitis is not caused by histamine release) [3] High-potency topical corticosteroids: e. Epinephrine (1:1,000): 0. Folliculitis causes (aetiology) It can be caused by: Infection: S. Prurigo nodularis (PN) is an uncommon, chronic skin disorder affecting primarily older adults and is characterized by symmetrically distributed, multiple, firm, pruritic nodules ( picture 1A-B ). PN occurs in patients with chronic pruritus and is frequently associated with a history of atopic dermatitis [ 1-3 ]. 2. A common skin condition, folliculitis happens when a hair follicle becomes infected or inflamed. Pus-filled blisters that break open and crust over. 2. These include folliculitis, carbuncles, impetigo, ecthyma, cellulitis, erysipelas, necrotising. Folliculitis commonly occurs in areas with terminal hair growth, such as the head. Folliculitis can be itchy, but may also be painful. , boil) is an infection of the hair follicle, but unlike folliculitis in which the infection remains in the epidermis, the inflammation in furuncles extends deep into the dermis. It also restores the pH level of the scalp when used as a hair rinse. Patients are often much less toxic compared with necrotizing fasciitis/necrotizing myositis. Clin Infect Dis. INTRODUCTION. 1 - 0. It's often caused by an infection with bacteria. 2-4 Malassezia is a dimorphic lipophilic yeast that can be found in small numbers. Our highly acclaimed content is freely available via the internet and our dedicated mobile applications. High potency topical steroids such as clobetasol. CO binds to myoglobin and alters its function. 4 Pedi Quick Weight. Gram-negative folliculitis is a pustular facial eruption also due to infection with Pseudomonas aeruginosa or other similar organisms. Folliculitis; Hidradenitis suppurativa; Skin abscess. )Hematomas can significantly distort pharyngeal and facial anatomy making intubation or cricothyroidotomy difficult. Neuro: Speech is clear and appropriate. This honeycomb is a painful. Anorectal abscess; Bartholin gland abscess; Pilonidal abscess; Scrotal abscess; Necrotizing soft tissue infections. Folliculitis manifests clinically as erythematous papules or pustules around hair follicles. 05units/kg/hr per local protocol) When BS <250mg/dL, halve the rate of infusion to 0. Hot tub folliculitis most commonly occurs after exposure to a contaminated hot tub/spa, but it has also been reported from swimming pools, hydrotherapy pools, water parks and fresh water bodies of water. 7% of patients <2 years old with fever have pneumonia, however the etiology (viral/bacterial) or even the presence of pneumonia has low inter-observer reliability even among pediatric radiologists [1] 4% Prevalence of UTI with common other sources of fever ( OM, viral URI, etc) [2] 0. May be a devastating disease if improperly treated. [ 1, 2] In superficial. Apply shaving cream and let it sit on the skin for 2–3 minutes. ; Pseudomonas spp. You may also hear folliculitis called razor burn or. Oblique (mortise) Best for evaluating for unstable fracture or soft tissue injury. 2. Pelvic anatomy including organs of the female reproductive system. There are three major types of skin cancers: These are flat cells in the upper (outer) part of the epidermis, which are constantly shed as new . Simple hair follicle scrotal wall abscess. Background. Potentially infectious body fluids are blood and CSF. Must distinguish from Herpes gingivostomatitis. Vinegar is used to decrease the occurrence of rashes due to folliculitis. It is characterized by tender, swollen areas that form around hair follicles, often on the neck, breasts, buttocks, and face. PTA will have echo-free cavity with irregular border. Generally, the infection occurs as a follicular inflammation, or as a cutaneous granulomatous lesion, i. Ensure that inner tract/incision can fit your finger and tube. Inflammation of the epidermis and dermis. It is worth noting that the research looked. 14 units/kg/hr of insulin (or 0. 1. Folliculitis; Evaluation. Non-infective folliculitis can be caused by: shaving and waxing. 1 U/kg q2hr and switch IV fluids to Dextrose 5% at 150cc/hr. Less pain, but significantly decreased range of motion. Be sure to palpate for the spermatic cord, urethra, and ipsilateral testicle. Move the probe superior or inferior as. Mild/moderate cellulitis. Pain with eye movement. Lack of : Proptosis. Imipenem 500mg q6hr + cipro 400mg q8hr + vanco 15mg/kg q12 OR. Antibiotic or antifungal. At first it may look like small pimples around the tiny pockets from where each hair grows (hair follicles). Although both occur in vasculitis, inflammation of veins or arteries on. It is an infection of the hair follicle thought to be caused by the common cutaneous yeast, Malassezia furfur (Pityrosporum ovale) and possibly other strains of Malassezia. Symptoms may include pain, swelling, and redness. For acute epididymitis most likely caused by enteric organisms. Bullae and vesicles. 5mm elevation in V2 and V3. Lesions in various stages of development. Folikulitis dapat muncul mulai dari rambut hingga ke pergelangan tangan dan kaki tempat rambut paling sering muncul. Folliculitis occurs due to damage following hair removal. aureus is the most common. In infants and occasionally in adults the fungus is associated with a sepsis syndrome that heralds a deep-seated infection. Typically, treatment for both gonorrhea and chlamydia is indicated, if one entity is suspected. Antecedent pruritus, paresthesia, pain to dermatome 2-3 days prior to rash. [1] : 272. Folliculitis; Evaluation Management. Infection-fighting pills (oral antibiotics) aren't routinely used for folliculitis, but you may need them for a severe or repeat infection. Folliculitis barbae presents similarly, but is. Starts on trunk or scalp as pruritic, red macules, spreads to extremities. While the redness often turns white when.