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Common features include: A single larger herald patch that appears first, commonly on the trunk, back, chest, or abdomen Many smaller, scaly, salmon- to pink-colored oval patches that follow roughly two weeks later A symmetric spread across the trunk, arms, and legs, often in a Christmas-tree pattern on the back Itching that tends to flare when you get warm, such as during a workout or a hot shower Sometimes early flu-like symptoms before the rash, such as headache, fatigue, mild fever, or sore throat What causes pityriasis rosea
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