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Pityriasis rosea

Pityriasis rosea

Pityriasis rosea on the chest
Pityriasis rosea on the chest

Definition:

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

Causes, incidence, and risk factors:

Pityriasis rosea occurs most commonly in the fall and spring. It is believed to be caused by a virus. 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:
  • Skin lesion or rash
    • Starts with a single (herald) lesion
    • Followed several days later by more lesions
    • May follow cleavage lines or appear in a "Christmas tree" pattern
    • Oval plaque, papule, or macule
    • Sharp border
    • May spread
    • Centers have wrinkled (cigarette paper) appearance
    • The lesions appears like a scale that is attached at the edges and loose at the center
  • Itching of the lesions (mild to severe)
  • Skin redness or inflammation
Signs and tests:

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.


Review Date: 10/16/2006
Reviewed By: Michael S. Lehrer, M.D., Department of Dermatology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

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