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American Family Physician
Patient Information

Please note: This information was as current as we could make it on the date given above. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org, the AAFP patient education Web site.


An article on this topic is available in this issue of AFP.

Pityriasis Rosea

What is pityriasis rosea ?

Pityriasis rosea is a scaly, reddish-pink skin rash. (Say: pit-ih-rye-ah-sis row-see-ah) It is most common in children and young adults.

If you get this skin condition, you may feel like you have a cold at first. Then, a single scaly red spot may appear on your back or stomach. This is called a "herald patch." Smaller spots will develop on your body days to weeks later. The rash may itch badly. If the rash is on your back, it may have the shape of a Christmas tree.

What causes pityriasis rosea?

The cause of pityriasis rosea is uncertain. Some doctors believe that pityriasis rosea is caused by a viral or bacterial infection. Certain medicines also can cause this rash. Pityriasis rosea is not contagious, and people with this rash do not have to be kept away from other people.

What conditions look like pityriasis rosea?

The rash of pityriasis rosea can look like eczema, ringworm, or psoriasis. Infection with syphilis also can cause a similar rash. If your doctor wonders if you might have syphilis, he or she will order a blood test.

How long does pityriasis rosea last?

Pityriasis rosea usually lasts one to three months. Let your doctor know if the rash or itching lasts longer than three months.

How is pityriasis rosea treated?

The rash usually goes away on its own. No treatment can cure it, but medicine can relieve your itching. Your doctor might have you use antihistamine pills, a steroid cream, calamine lotion, or zinc oxide cream. Sometimes people with pityriasis rosea have to take steroid pills.


This handout provides a general overview on this topic and may not apply to everyone. To find out if this handout applies to you and to get more information on this subject, talk to your family doctor.

Visit familydoctor.org for information on this and many other health-related topics.

Copyright © 2004 by the American Academy of Family Physicians.
Permission is granted to print and photocopy this material for nonprofit educational uses. Written permission is required for all other uses, including electronic uses.



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