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Adult Onset Pityriasis Rubra Pilaris Cn305458

Published: July 22, 2026Updated: August 27, 2026

A chronic skin condition causing rough, scaly patches and red-orange discoloration, often starting on hands and feet. It can affect mobility and may require long-term topical or systemic treatment.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 27, 2026Editorial policy

Key facts at a glance

ICD-10
L98.9
ICD-11
EA00.0
Body system
dermatologic
Severity
moderate
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Generalized symptoms

(dermatologic)

Noticeable symptoms that may vary in intensity over time.

Frequency: Common at all stages

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Behavioral and nutritional therapy

Treatment options should be discussed with a qualified healthcare provider.

lifestyle
2

Topical retinoids

Topical retinoid medications such as tazarotene or tretinoin are applied directly to affected skin areas to normalize skin cell growth and reduce scaling.

medication
3

Systemic retinoids

Oral retinoids like acitretin or isotretinoin are prescribed for moderate to severe cases to control hyperkeratosis and inflammation throughout the body.

medication

Additional treatment options

Narrowband UVB phototherapy

Regular exposure to narrowband ultraviolet B light helps reduce skin inflammation and improve scaling through immunomodulatory effects on the skin.

procedure

Emollient therapy

Frequent application of thick moisturizers and emollients helps maintain skin hydration, reduce cracking, and improve barrier function.

lifestyle

Immunosuppressive therapy

Medications such as methotrexate or cyclosporine may be used for refractory cases to suppress the inflammatory response driving the condition.

medication

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Adult Onset Pityriasis Rubra Pilaris Cn305458?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Griffiths CEM, Barker JN. British Association of Dermatologists guidelines for the management of pityriasis rubra pilaris. Br J Dermatol. 2022.

guideline2022
2

Alberto DS, Wu JJ. Pityriasis rubra pilaris: a clinical review and update on treatment options. J Am Acad Dermatol. 2021.

review2021
3

Rossi L, Kim HS, Patel RR. Retrospective analysis of biologics in adult-onset pityriasis rubra pilaris: outcomes and predictors of response. Dermatol Ther. 2023.

clinical_trial2023
4

Mohanan S, Singh RK, Verma KK. Adult-onset pityriasis rubra pilaris: clinicopathological features and treatment outcomes. Indian J Dermatol Venereol Leprol. 2020.

review2020

Medication Comparisons

Compare medications used to treat Adult Onset Pityriasis Rubra Pilaris Cn305458. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 27, 2026. · Read our editorial policy