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 with:
- 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 doctor for evaluation of any widespread rash.
When to Seek Medical Care
If you develop a patch of pink, scaly skin that does not respond to over-the-counter antifungal creams or hydrocortisone cream, or if you develop a widespread rash, see a dermatologist or another physician for an evaluation.
Be prepared to discuss the following with your 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 recent sexual history
- Your medication history (make sure you know the names of any pills you have taken within the last month)
Signs and Symptoms
