Pityriasis rosea

Also called Christmas tree rash

Pityriasis rosea is a rash that usually starts with one larger, raised, scaly patch on the chest, tummy or back. A few days to weeks later, smaller patches appear, often in a pattern like a Christmas tree. It mostly affects people aged 10 to 35, is thought to be linked to a virus, and is not contagious.

Last updated Nov 9, 2026

What it is

It usually goes away by itself within 12 weeks, though skin colour changes can last longer.

Moisturisers, steroid creams and antihistamines can ease itching. It is worth getting checked in pregnancy.

Common signs

  • One larger pink or dark patch first (herald patch)
  • Many smaller oval patches after days or weeks
  • Itching
  • Feeling tired, a headache or a mild fever beforehand

How it is usually diagnosed

  • Looking at the rash
  • Sometimes a blood test to rule out other causes

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • GP or dermatology notes
  • Photos of the rash over time

Questions to ask your doctor

  • Could this be anything else?
  • What can help with the itching?
  • Do I need to do anything in pregnancy?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • A rash in pregnancy, or a rash with a high fever and feeling very unwell: see a doctor the same day

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources