to the editor: I would like to comment on the article, “Pityriasis Rosea,”¹ by Drs. Stulberg and Wolfrey in the January 1, 2004, issue of American Family Physician. Pityriasis rosea can have a distinctly different appearance on patients with brown skin or dark skin. The herald patch, as well as the diffuse rash that follows, may have a gray, dark brown, or even black appearance. There may be either hypopigmented or hyperpigmented areas visible after the lesions resolve.