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Pityriasis rosea

Contents of this page:

Illustrations

Pityriasis rosea on the chest
Pityriasis rosea on the chest

Definition    Return to top

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

Causes    Return to top

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 be highly contagious.

Attacks generally last 4 - 8 weeks. Symptoms may disappear by 3 weeks or last as long as 12 weeks. There is generally a single large patch (herald patch) followed several days later by a rash.

Symptoms    Return to top

Exams and Tests    Return to top

Your health care provider can usually diagnose pityriasis rosea by the way the rash looks. A blood test may be needed to rule out a form of syphilis, which can cause a similar rash. Occasionally, a skin biopsy may be needed to confirm the diagnosis.

Treatment    Return to top

If symptoms are mild, no treatment may be needed.

Gentle bathing, mild lubricants or creams, or mild hydrocortisone creams may be used to soothe inflammation. Antihistamines, taken by mouth, may be used to reduce itching.

Moderate sun exposure or ultraviolet light treatment may help make the lesions go away more quickly. However, care must be taken to avoid sunburn.

Outlook (Prognosis)    Return to top

Pityriasis rosea usually goes away within 6 - 12 weeks. It doesn't usually come back.

When to Contact a Medical Professional    Return to top

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

References    Return to top

Habif TP. Psoriasis and other papulosquamous diseases. In: Habif TP, ed. Clinical Dermatology. 4th ed. Philadelphia, Pa: Mosby Elsevier; 2004: chap 8.

Lim HW. Eczemas, photodermatoses, papulosquamous (including fungal) diseases, and figurate erythemas. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 464.

Update Date: 11/16/2008

Updated by: Linda Vorvick, MD, Family Physician, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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