This image displays a typical site of involvement for pityriasis rosea, displayed as light pink, scaly, slightly elevated lesions.  This image displays a rash with slight scaling that is typical of pityriasis rosea. This image displays a rash with slight scaling that is typical of pityriasis rosea. This image displays the round or oval lesions of pityriasis rosea following skin lines like "Christmas tree branches" on the patient's back. In people with darker skin, the small, scaly patches of pityriasis rosea may look more brown than pink. In severe pityriasis rosea, numerous small bumps may run together. This image displays the pink, slightly scaly skin patches typical of pityriasis rosea. The patches of pityriasis rosea are typically oval, often parallel to each other, and may have an edge of scaling at the outside border. Pityriasis rosea in people with darker skin can look more brown than pink.
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Pityriasis Rosea  A parent's guide to condition and treatment information

Picture of Pityriasis Rosea: This image displays a typical site of involvement for pityriasis rosea, displayed as light pink, scaly, slightly elevated lesions.  Divider line
This image displays a typical site of involvement for pityriasis rosea, displayed as light pink, scaly, slightly elevated lesions.
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Self-Care Guidelines
The herald patch of pityriasis rosea may be mistaken for ringworm (tinea corporis), but over-the-counter antifungal creams do not improve it. Similarly, the herald patch may look like eczema, but over-the-counter hydrocortisone creams do not affect it. The second, widespread rash of pityriasis rosea will always develop even if the herald patch is treated.

Itching with pityriasis rosea can sometimes be reduced by:
  • Oatmeal baths
  • Lukewarm (rather than hot) baths and showers
  • Antihistamine pills
Other than relieving the itch, there are no self-care measures for pityriasis rosea. Although the rash should go away on its own within 6–8 weeks, see your child's doctor for evaluation of any widespread rash.
When to Seek Medical Care
If your child develops a patch of pink, scaly skin that does not respond to over-the-counter antifungal creams or hydrocortisone cream, or if your child develops a widespread rash, see his or her doctor or a dermatologist for an evaluation.

Be prepared to discuss the following with the doctor:
  • The course of the rash (when it started, whether or not there was a herald patch, etc).
  • What treatments, if any, you have tried.
  • Whether or not any friends or relatives have a similar rash.
  • Your child's medication history. (Make sure you know the names of any pills your child has taken within the last month.)
Last Modified: 22 Dec 2008