Pityriasis Rosea

A Comprehensive Guide to Understanding and Managing This Common Skin Condition

Dermatology

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Last updated: Mar 24, 2025

What is Pityriasis Rosea?

Pityriasis rosea is a temporary skin rash that typically resolves on its own within 6-8 weeks. It's characterized by a distinctive pattern of pink or salmon-colored patches on the skin.

Key Features

  • Usually begins with a single "herald patch"
  • Followed by smaller patches in a "Christmas tree" pattern
  • Most common in people aged 10-35
  • Not contagious

Symptoms

Primary Signs

  • Herald patch: A large, oval pink patch (2-10cm)
  • Secondary rash appearing 1-2 weeks later
  • Mild itching in some cases
  • Patches following skin lines on torso

Less Common Symptoms

  • Fatigue
  • Mild fever
  • Headache
  • Sore throat

Causes

  • Exact cause remains unknown
  • Possibly triggered by viral infection
  • May be related to human herpesvirus 6 or 7
  • Not related to allergies or fungal infections

Treatment Options

Self-Care Measures

  1. Lukewarm baths
  2. Over-the-counter antihistamines for itching
  3. Moisturizing lotions
  4. Light, loose-fitting clothing

Medical Treatments

  • Topical corticosteroids for severe itching
  • UV light therapy in some cases
  • Oral antihistamines as needed

When to Seek Medical Care

  • Rash persists beyond 3 months
  • Severe itching or pain
  • Rash interferes with daily activities
  • Uncertain diagnosis

Recovery and Outlook

  • Usually resolves spontaneously within 6-8 weeks
  • Rarely leaves permanent marks
  • Low risk of recurrence
  • No long-term complications

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