What is the progression of symptoms?

Here's a selection of information from patients & professionals to better understand Pityriasis Rubra Pilaris.


The PRP timeline varies from sequential to haphazard. Here are some of the symptoms others have experienced. The effect of all these symptoms can be depression. If the depression is debilitating, seek the help of a healthcare professional.

-The skin on the palms of the hands and the soles of the feet may or may not become red, thick and cracked and may bleed.
-The scaly patches that often engulf the entire body may or may not include clear areas (islands of sparing).
-While all areas of the body are at risk, ears/hearing, eyes/vision, feet/mobility, hands/dexterity may become critical issues in any treatment.
-While the physical discomforts of pain and itching are ever-present at times, we find ways to suppress them, if only temporarily.
-Toenails and fingernails may thicken, disappear or remain unchanged.
-The scalp may or may not be a cause of distress.
-Hair loss, thermoregulation, sensitivity to sunlight, joint pain, the inability to sweat, fatigue and a loss of energy and weight gain/loss may be issues to challenge body, mind and spirit — or not.