Pityriasis Rosea

Understanding Pityriasis Rosea: Symptoms and Care


Pityriasis rosea is a common, harmless skin condition that typically begins with a single, large pink or red spot, known as a "herald patch," which is followed by smaller, scaly, oval-shaped lesions that spread across the body. While it is not a serious condition, it can cause discomfort and itching.

At Keystone Dermatology Partners, our dermatologists are skilled in diagnosing and treating pityriasis rosea to help manage symptoms and promote healing.

Schedule a consultation with the skin experts at Keystone Dermatology Partners to begin your journey toward healthier skin.

Pityriasis Rosea Symptoms:

  • 'Herald Patch': A single, large pink or red patch.
  • Secondary rash: Smaller, scaly, oval-shaped lesions.
  • Itching
  • Fatigue
  • Flu-like symtoms

Who Gets Pityriasis Rosea?

  • All ages any skin color
  • Most likely to occur between the ages of 10-35
  • During pregnancy

How Do I Know if I Have Pityriasis Rosea?

The condition may be related to a viral infection. Due to its appearance, pityriasis rosea may be confused with eczema or ringworm. The first sign of pityriasis rosea is called a “mother” patch and it tends to be larger (2-3-inch diameter) and appears approximately two weeks before the other rashes appear.

Daughter patches tend to be smaller in size and often appear on the chest, back, arms, and legs. These patches can also form on the neck and face, sometimes even in the mouth. If many patches begin to form, they may assume a “Christmas tree” pattern on the back. Patches may be scaly and itch. 

FAQs about Pityriasis Rosea

No, Pityriasis Rosea is not contagious. You can't pass it on to others through skin-to-skin contact. It's a reaction within your body, not an infection that can be transmitted.

Yes, you can still go about your daily activities. Pityriasis Rosea isn't usually a reason to stay home. It's not harmful, and the rash is not a sign of a serious illness. Just be mindful of your comfort, and avoid activities that may irritate the rash.

To relieve itching, use mild, fragrance-free moisturizers and take cool baths. Over-the-counter antihistamines may also help. If the rash is uncomfortable, consult with a dermatologist who can recommend appropriate treatments.

No, Pityriasis Rosea doesn't usually leave scars. Once it resolves, your skin should return to its normal appearance. If you have concerns or notice changes, a dermatologist can address them.

How to Treat Pityriasis Rosea

The pityriasis rosea rash will often resolve on its own within 2 months. Symptoms from itch may be addressed with the use of over-the-counter antihistamines and anti-itch creams. Some prescription anti-viral medications may also speed clearance of the rash.

If you are struggling with Pityriasis Rosea, visit a dermatology professional at Keystone Dermatology, where a member of our team can asses your skin and create a customized treatment plan for your skin needs.