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Pityriasis rosea

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.

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.

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.

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.

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).

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.

Last Reviewed
30 July 2025
NHS websiteNHS website

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Established in 1983, Blackwells Chemist has been around for 43 years in the current hands of Piyush Amin, providing excellence care and personal professional advice. Over time, we have secured our reputation to thousands of patients as "their long term family pharmacist" due to our specialist advice, care and attention served and tailored to each and every patient and their needs.

As well as the standard pharmacy prescription services and healthcare retail products, we also offer a wide range of healthcare services including antigen and antibody testing, a travel and vaccination clinic, a seasonal flu & covid jab service, blood pressure monitoring, addiction clinics, health screening services, Pharmacy First and a range of over 12,000 product lines stocked in store.

We serve all of Beckenham, Bromley, Park Langley, Penge, Crystal Palace, West Wickham, Shirley, Eden Park, Elmers End, Shortlands and further afield. 

Ask your local GP about our sterling reputation, for both excellence in care as well as stocked products.
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