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| URL | https://www.nhs.uk/conditions/pityriasis-rosea/ |
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| Meta Title | Pityriasis rosea - NHS |
| Meta Description | Find out about pityriasis rosea, including what the symptoms are and what to do if it's uncomfortable or itchy. |
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| Boilerpipe Text | Pityriasis rosea is different to
pityriasis versicolor
.
Symptoms of pityriasis rosea
The main symptom of pityriasis rosea is a rash.
Some people get flu-like symptoms a few days before the rash appears, including:
tiredness
a sore throat
a high temperature
a headache
The rash appears in 2 stages.
Stage 1: single, round patch
The first stage of the rash is a single, scaly patch called a herald patch.
The herald patch is usually oval or round, slightly raised and about 2cm to 5cm across. It usually appears on the chest, thigh, upper arm or neck, but you can get it anywhere on the body.
On white skin, the herald patch is usually pink with a red border. On brown or black skin, the herald patch may be darker with a light border.
Stage 2: widespread rash
A widespread rash of small, scaly spots appears about 5 to 15 days after you get the herald patch.
Usually you get the rash on your chest and back, but it can appear on the arms or legs. In children, it may appear on the face or scalp.
It usually appears in the same place on both sides of the body and may be itchy.
On white skin, the spots are pink or red.
On black or brown skin, the spots can be grey, dark brown or black.
After the rash has gone, you may have some darker or lighter areas of skin. This may be more obvious on brown or black skin. In most people, these should go back to normal within a few months and will not leave permanent scarring.
Information:
If you're not sure it's pityriasis rosea
Other conditions can have similar symptoms to pityriasis rosea.
For example, scaly spots could be
psoriasis
or
eczema
, and a single, round patch could be
ringworm
.
Do not try to diagnose the problem yourself. See a GP if you're worried.
Urgent advice:
Call your midwife, maternity unit, GP or NHS 111 immediately if:
you have a new rash and you're pregnant
Getting pityriasis rosea in the first 15 weeks of pregnancy has been linked with miscarriage and premature birth.
Treatment for pityriasis rosea
Pityriasis rosea usually gets better on its own within a few months without any treatment. It might get worse before it goes away completely.
If the rash is uncomfortable or itchy, a pharmacist might advise:
using an
emollient
(moisturising treatment for the skin) on the rash
taking
antihistamine
tablets to help with the itching
avoiding using soaps and body washes
A pharmacist will tell you how often to take or apply any treatments.
If these treatments do not work or if you have severe pityriasis rosea, your GP may recommend
steroid cream
or refer you to a skin specialist (dermatologist).
Non-urgent advice:
See a GP if:
you have a rash that's still itchy after trying pharmacy treatments like emollients or antihistamines
you have a rash that has not gone away after 3 months
How you get pityriasis rosea
The exact cause of pityriasis rosea is not known. It may be caused by a virus.
Pityriasis rosea cannot spread from person to person.
Page last reviewed: 07 September 2023
Next review due: 07 September 2026 |
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# Pityriasis rosea
Pityriasis rosea is a common skin rash. It's mild and usually goes away on its own without treatment.
Pityriasis rosea is different to [pityriasis versicolor](https://www.nhs.uk/conditions/pityriasis-versicolor/).
## Symptoms of pityriasis rosea
The main symptom of pityriasis rosea is a rash.
Some people get flu-like symptoms a few days before the rash appears, including:
- tiredness
- a sore throat
- a high temperature
- a headache
The rash appears in 2 stages.
### Stage 1: single, round patch
The first stage of the rash is a single, scaly patch called a herald patch.
The herald patch is usually oval or round, slightly raised and about 2cm to 5cm across. It usually appears on the chest, thigh, upper arm or neck, but you can get it anywhere on the body.

On white skin, the herald patch is usually pink with a red border. On brown or black skin, the herald patch may be darker with a light border.
Credit:
DR H.C.ROBINSON / SCIENCE PHOTO LIBRARY https://www.sciencephoto.com/media/260599/view
### Stage 2: widespread rash
A widespread rash of small, scaly spots appears about 5 to 15 days after you get the herald patch.
Usually you get the rash on your chest and back, but it can appear on the arms or legs. In children, it may appear on the face or scalp.
It usually appears in the same place on both sides of the body and may be itchy.

On white skin, the spots are pink or red.
Credit:
ISM/SCIENCE PHOTO LIBRARY https://www.sciencephoto.com/media/694054/view

On black or brown skin, the spots can be grey, dark brown or black.
Credit:
Richard Usatine MD
After the rash has gone, you may have some darker or lighter areas of skin. This may be more obvious on brown or black skin. In most people, these should go back to normal within a few months and will not leave permanent scarring.
Information:
### If you're not sure it's pityriasis rosea
Other conditions can have similar symptoms to pityriasis rosea.
For example, scaly spots could be [psoriasis](https://www.nhs.uk/conditions/psoriasis/) or [eczema](https://www.nhs.uk/conditions/atopic-eczema/), and a single, round patch could be [ringworm](https://www.nhs.uk/conditions/ringworm/).
Do not try to diagnose the problem yourself. See a GP if you're worried.
## Urgent advice: Call your midwife, maternity unit, GP or NHS 111 immediately if:
- you have a new rash and you're pregnant
Getting pityriasis rosea in the first 15 weeks of pregnancy has been linked with miscarriage and premature birth.
## Treatment for pityriasis rosea
Pityriasis rosea usually gets better on its own within a few months without any treatment. It might get worse before it goes away completely.
If the rash is uncomfortable or itchy, a pharmacist might advise:
- using an [emollient](https://www.nhs.uk/tests-and-treatments/emollients/) (moisturising treatment for the skin) on the rash
- taking [antihistamine](https://www.nhs.uk/medicines/antihistamines/) tablets to help with the itching
- avoiding using soaps and body washes
A pharmacist will tell you how often to take or apply any treatments.
If these treatments do not work or if you have severe pityriasis rosea, your GP may recommend [steroid cream](https://www.nhs.uk/medicines/steroids/) or refer you to a skin specialist (dermatologist).
## Non-urgent advice: See a GP if:
- you have a rash that's still itchy after trying pharmacy treatments like emollients or antihistamines
- you have a rash that has not gone away after 3 months
## How you get pityriasis rosea
The exact cause of pityriasis rosea is not known. It may be caused by a virus.
Pityriasis rosea cannot spread from person to person.
Page last reviewed: 07 September 2023
Next review due: 07 September 2026
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| Readable Markdown | Pityriasis rosea is different to [pityriasis versicolor](https://www.nhs.uk/conditions/pityriasis-versicolor/).
## Symptoms of pityriasis rosea
The main symptom of pityriasis rosea is a rash.
Some people get flu-like symptoms a few days before the rash appears, including:
- tiredness
- a sore throat
- a high temperature
- a headache
The rash appears in 2 stages.
### Stage 1: single, round patch
The first stage of the rash is a single, scaly patch called a herald patch.
The herald patch is usually oval or round, slightly raised and about 2cm to 5cm across. It usually appears on the chest, thigh, upper arm or neck, but you can get it anywhere on the body.

On white skin, the herald patch is usually pink with a red border. On brown or black skin, the herald patch may be darker with a light border.
### Stage 2: widespread rash
A widespread rash of small, scaly spots appears about 5 to 15 days after you get the herald patch.
Usually you get the rash on your chest and back, but it can appear on the arms or legs. In children, it may appear on the face or scalp.
It usually appears in the same place on both sides of the body and may be itchy.

On white skin, the spots are pink or red.

On black or brown skin, the spots can be grey, dark brown or black.
After the rash has gone, you may have some darker or lighter areas of skin. This may be more obvious on brown or black skin. In most people, these should go back to normal within a few months and will not leave permanent scarring.
Information:
### If you're not sure it's pityriasis rosea
Other conditions can have similar symptoms to pityriasis rosea.
For example, scaly spots could be [psoriasis](https://www.nhs.uk/conditions/psoriasis/) or [eczema](https://www.nhs.uk/conditions/atopic-eczema/), and a single, round patch could be [ringworm](https://www.nhs.uk/conditions/ringworm/).
Do not try to diagnose the problem yourself. See a GP if you're worried.
## Urgent advice: Call your midwife, maternity unit, GP or NHS 111 immediately if:
- you have a new rash and you're pregnant
Getting pityriasis rosea in the first 15 weeks of pregnancy has been linked with miscarriage and premature birth.
## Treatment for pityriasis rosea
Pityriasis rosea usually gets better on its own within a few months without any treatment. It might get worse before it goes away completely.
If the rash is uncomfortable or itchy, a pharmacist might advise:
- using an [emollient](https://www.nhs.uk/tests-and-treatments/emollients/) (moisturising treatment for the skin) on the rash
- taking [antihistamine](https://www.nhs.uk/medicines/antihistamines/) tablets to help with the itching
- avoiding using soaps and body washes
A pharmacist will tell you how often to take or apply any treatments.
If these treatments do not work or if you have severe pityriasis rosea, your GP may recommend [steroid cream](https://www.nhs.uk/medicines/steroids/) or refer you to a skin specialist (dermatologist).
## Non-urgent advice: See a GP if:
- you have a rash that's still itchy after trying pharmacy treatments like emollients or antihistamines
- you have a rash that has not gone away after 3 months
## How you get pityriasis rosea
The exact cause of pityriasis rosea is not known. It may be caused by a virus.
Pityriasis rosea cannot spread from person to person.
Page last reviewed: 07 September 2023
Next review due: 07 September 2026 |
| Shard | 75 (laksa) |
| Root Hash | 11359509702434384875 |
| Unparsed URL | uk,nhs,www!/conditions/pityriasis-rosea/ s443 |