Site Map

Pityriasis rosea

Rash - pityriasis rosea; Papulosquamous - pityriasis rosea; Herald patch

Pityriasis rosea is a common type of skin rash seen in young adults.

Images

Pityriasis rosea on the chest

I Would Like to Learn About:

Causes

Pityriasis rosea is believed to be caused by a virus. It occurs most often in the fall and spring.

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.

Symptoms

Attacks most often last 4 to 8 weeks. Symptoms may disappear by 3 weeks or last as long as 12 weeks.

The rash starts with a single large patch called a herald patch. After several days, more skin rashes will appear on the chest, back, arms, and legs.

The skin rashes:

Other symptoms may include:

Exams and Tests

Your health care provider can often diagnose pityriasis rosea by the way the rash looks.

In rare cases, the following tests are needed:

Treatment

If symptoms are mild, you may not need treatment.

Your provider may suggest gentle bathing, mild lubricants or creams, or mild hydrocortisone creams to soothe your skin.

Antihistamines taken by mouth may be used to reduce itching. You can buy antihistamines at the store without a prescription.

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.

Outlook (Prognosis)

Pityriasis rosea often goes away within 4 to 8 weeks. It usually doesn't come back.

When to Contact a Medical Professional

Call for an appointment with your provider if you have symptoms of pityriasis rosea.

Related Information

Patches

References

Dinulos JGH. Psoriasis and other papulosquamous diseases. In: Dinulos JGH, ed. Habif's Clinical Dermatology: A Color Guide in Diagnosis and Therapy. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 8.

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. Andrews' Diseases of the Skin: Clinical Dermatology. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 11.

BACK TO TOP

Review Date: 10/10/2020  

Reviewed By: Linda J. Vorvick, MD, Clinical Associate Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

ADAM Quality Logo
Health Content Provider
06/01/2025

A.D.A.M., Inc. is accredited by URAC, for Health Content Provider (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics. This site complies with the HONcode standard for trustworthy health information: verify here.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2022 A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.