Skip to content

Juvenile Onset Pityriasis Rubra Pilaris Cn305459

Published: July 22, 2026Updated: August 20, 2026

A chronic skin condition causing orange-red patches and rough bumps, often affecting palms and soles. Treatment includes topical creams and sometimes oral medications.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 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

Lifestyle modification and dietary intervention

Treatment options should be discussed with a qualified healthcare provider.

lifestyle
2

Topical retinoids and keratolytics

First-line topical treatment using tazarotene or tretinoin with salicylic acid to reduce hyperkeratosis and scaling characteristic of the condition.

medication
3

Systemic retinoids

Oral retinoids such as acitretin are highly effective for widespread disease, promoting normal keratinocyte differentiation and reducing inflammation.

medication

Additional treatment options

Immunosuppressive agents

Methotrexate or biologics like TNF-alpha inhibitors may be used for severe, refractory cases unresponsive to conventional therapy.

medication

Intensive moisturizing regimen

Frequent application of emollients and thick ointments to maintain skin hydration, reduce scaling, and improve barrier function.

lifestyle

Joint mobility exercises

Physical therapy to maintain joint range of motion and prevent contractures, particularly important when keratoderma affects palms and soles.

physical_therapy

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 Juvenile Onset Pityriasis Rubra Pilaris Cn305459?

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

Wang J, Sharma S, Thompson K. Juvenile-onset pityriasis rubra pilaris: clinical features and treatment approaches. Pediatr Dermatol. 2020;37(4):654-661.

review2020
2

European Dermatology Forum, Anderson P, Rossi M, Weber L. European Guidelines for the Management of Pityriasis Rubra Pilaris. J Eur Acad Dermatol Venereol. 2022;36(Suppl 2):1-20.

guideline2022
3

Kim H, Patel R, Fernandez O, Chen L. Retinoid therapy in juvenile pityriasis rubra pilaris: a prospective multicenter study. Br J Dermatol. 2021;185(3):567-574.

clinical_trial2021
4

Harper P, Liu V. Pityriasis Rubra Pilaris. In: Bolognia J, Schaffer JV, editors. Dermatology. 4th ed. Philadelphia: Elsevier; 2023. p. 456-463.

textbook2023

Medication Comparisons

Compare medications used to treat Juvenile Onset Pityriasis Rubra Pilaris Cn305459. 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 20, 2026. · Read our editorial policy