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Pityriasis alba in Adult
Other Resources UpToDate PubMed

Pityriasis alba in Adult

Contributors: Cynthia Marie Carver DeKlotz MD, Lynn McKinley-Grant MD, Aída Lugo-Somolinos MD
Other Resources UpToDate PubMed


Pityriasis alba is a common condition primarily affecting children, but not exclusively, and especially those with atopic diathesis (eg, asthma, allergic rhinitis and conjunctivitis, atopic dermatitis). It is characterized by hypopigmented macules or patches. Lesions may be asymptomatic or mildly pruritic and range in size from 0.5-5 cm. Classically, there is no preceding inflammatory stage, and, on examination, fine scale may be present. Often, the lesions are poorly demarcated; however, at times, the hypopigmentation may be well defined. The disorder is associated with dry skin (xerosis).

Pityriasis alba often has a chronic course, tends to relapse, and usually worsens in the summer with increased sun exposure. It predominately occurs in children between the ages of 3 and 16 years and is found equally in both sexes. In the majority of patients, spontaneous resolution typically occurs before adulthood. Lesions most commonly occur on the face and upper arms. This disorder is common in all ethnicities, although the hypopigmented lesions are more obvious in patients with darker skin phototypes.

The exact cause of the condition is unknown, although the characteristic hypopigmentation may be secondary to a preceding subclinical dermatitis. Environmental triggers such as heat, humidity, sunlight exposure, detergents / soaps, abrasive clothing, chemicals, and smoke, along with stress, may aggravate this disorder. Microorganisms such as Pityrosporum, Streptococcus, Aspergillus, and Staphylococcus may also be triggers. Evidence also suggests that pityriasis alba is a mild eczematous dermatitis.


L30.5 – Pityriasis alba

402296004 – Pityriasis alba

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Last Updated:10/18/2018
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Pityriasis alba in Adult
A medical illustration showing key findings of Pityriasis alba : Cheek, Scattered few, Pruritus, Hypopigmented patches, Hypopigmented macules, Upper arms
Clinical image of Pityriasis alba - imageId=143728. Click to open in gallery.  caption: 'A thin hypopigmented plaque with follicular prominence on the arm.'
A thin hypopigmented plaque with follicular prominence on the arm.
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