Experiences with
Pityriasis roseaCheck if you have 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.
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.
- 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).
- 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.
SymptomsMedical treatmentsCausesThe main sign of pityriasis rosea is a round scaly patch followed by a widespread spotty rash on the chest, back, arms or legs.
Pityriasis rosea usually goes away on its own and does not need treatment. If it's uncomfortable, you might need a cream or antihistamine tablets.
The exact cause of pityriasis rosea is not known, but it may be caused by a virus. It cannot spread from person to person.
Related links
HealthUnlocked contains information from NHS Digital, licensed under the current version of the Open Government Licence