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</div><div><span>Pityriasis rosea</span></div></div>
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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Pityriasis rosea</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Pityriasis rosea is a common type of skin rash most often seen in young adults.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Pityriasis rosea is believed to be caused by a virus. It occurs most often in the fall and spring.</p><p>Although pityriasis rosea may occur in more than one person in a household at a time, it is not thought to spread from one person to another. Females seem to be more affected than males.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Symptoms</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Attacks most often last 4 to 8 weeks. Symptoms may disappear by 3 weeks or last as long as 12 weeks.</p><p>The rash starts with a single large <a test="test" href="./003231.htm">patch</a> called a herald patch. After several days, more skin rashes will appear on the chest, back, arms, and legs.</p><p>The skin rashes:</p><ul><li>Are often pink or pale red</li><li>Are oval in shape</li><li>May be scaly</li><li>May follow lines in the skin or appear in a "Christmas tree" pattern</li><li>May itch </li></ul><p>Other symptoms may include:</p><ul><li>Headache</li><li>Fatigue</li><li>Sore throat</li><li>Mild fever</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Exams and Tests</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>Your health care provider can often diagnose pityriasis rosea by the way the rash looks.</p><p>In rare cases, the following tests are needed:</p><ul><li>
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A blood test to be sure it is not a form of syphilis, which can cause a similar rash
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A <a test="test" href="./003840.htm">skin biopsy</a> to confirm the diagnosis
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</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Treatment</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>If symptoms are mild, you may not need treatment.</p><p>Your provider may suggest gentle bathing, mild lubricants or cream, or mild hydrocortisone creams to soothe your skin.</p><p>Antihistamines taken by mouth may be used to reduce itching. You can buy antihistamines at the store without a prescription.</p><p>Moderate sun exposure or ultraviolet (UV) light treatment may help make the rash go away more quickly. However, you must be careful to avoid sunburn.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>Pityriasis rosea often goes away within 4 to 8 weeks. It usually doesn't come back.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Contact your provider for an appointment if you have symptoms of pityriasis rosea.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Rash - pityriasis rosea; Papulosquamous - pityriasis rosea; Herald patch</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/2503t.jpg" alt="Pityriasis rosea on the chest" title="Pityriasis rosea on the chest" class="side-img"/><a href="../imagepages/2503.htm">Pityriasis rosea on the chest</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Dinulos JGH. Psoriasis and other papulosquamous diseases. In: Dinulos JGH, ed. <em>Habif's Clinical Dermatology: A Color Guide in Diagnosis and Therapy</em>. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 8.</p><p>James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM. Pityriasis rosea, pityriasis rubra pilaris, and other papulosquamous and hyperkeratotic diseases. In: James WD, Elston DM, Treat JR, Rosenbach, MA, Neuhaus IM, eds.<em> Andrews' Diseases of the Skin: Clinical Dermatology</em>. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 11.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 10/20/2022</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: Linda J. Vorvick, MD, Clinical Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.</p>
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