Pityriasis rosea | |
---|---|
Other names | Pityriasis rosea Gibert[1] |
Pityriasis rosea on the back showing a "christmas tree" pattern | |
Specialty | Dermatology, infectious disease |
Symptoms | Single red and slightly scaly area, followed |
Usual onset | 10 to 35 years old[2] |
Duration | Less than three months[2] |
Causes | Unclear[3] |
Diagnostic method | Based on symptoms[2] |
Differential diagnosis | Tinea corporis, viral rash, pityriasis versicolor, nummular eczema[3] |
Treatment | Supportive care[3][2] |
Frequency | 1.3% (at some point in time)[3] |
Pityriasis rosea is a type of skin rash.[2] Classically, it begins with a single red and slightly scaly area known as a "herald patch".[2] This is then followed, days to weeks later, by an eruption of many smaller scaly spots; pinkish with a red edge in people with light skin and greyish in darker skin.[4] About 20% of cases show atypical deviations from this pattern.[3] It usually lasts less than three months and goes away without treatment.[3] Sometimes malaise or a fever may occur before the start of the rash or itchiness, but often there are few other symptoms.[3]
While the cause is not entirely clear, it is believed to be related to human herpesvirus 6 (HHV6) or human herpesvirus 7 (HHV7).[3] It does not appear to be contagious.[3] Certain medications may result in a similar rash.[3] Diagnosis is based on the symptoms.[2]
Evidence for specific treatment is limited.[3] About 1.3% of people are affected at some point in time.[3] It most often occurs in those between the ages of 10 and 35.[2] The condition was described at least as early as 1798.[1]