Pityriasis Rosea misdiagnosis(?)

I was diagnosed with Pityriasis Rosea about 6 wks ago, so I looked up all the signs and symptoms. My hesitancy with accepting this diagnosis: I didn't have a herald patch, my age is out of the normal range to get this (54), there is no itching, it has not spread, and the lesions are not all oval or round.

All the lesions showed up at the same time on one day. They haven't multiplied, but they have gotten larger and some have spread into each other. They are on my upper arms, chest, and front left shoulder. I have no other symptoms except was recently diagnosed with Vit D, Calcium, and Vit B-12 deficiencies, along with osteoporosis.

Any thoughts or ideas are greatly appreciated!

[Bhupinder Kaur, MD]

Hello,
From the symptoms and site of the rash, pityriasis rosea is the first possibility that comes to mind. Pityriasis rosea lesions are not necessarily itchy. Other possibilities are atopic dermatitis,erythrodermic psoriasis,pityriasis rubra pilaris and annular erythemas. I suggest you to get a biopsy skin done to confirm the diagnosis.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

[cst78666]

Thanks for the info. I was a bit worried maybe it is discoid lupus. I called my doctor and she decided to do a biopsy on April 9th. I will keep you updated.
Thanks again!