Symptoms of Pityriasis Rosea: Fever and Dizziness Explained - Dermatology

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Symptoms associated with pityriasis rosea?


I have roseola for about 4 weeks now, but after intense exercise, I feel a low-grade fever, dizziness, and a slight headache the next day.
This has happened twice.
Is this a normal phenomenon? Thank you.

Meigui Kangzhen Xiansheng, 30~39 year old female. Ask Date: 2016/12/21

Dr. Li Yufen reply Dermatology


Hello: For an introduction to pityriasis rosea, you can refer to the article on the Dermatology Expert Health Network at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=120.
A small number of individuals may experience symptoms similar to a cold.
If the symptoms do not improve or worsen, it is recommended to consult a nearby dermatologist for diagnosis and treatment at http://www.derma.org.tw/user_finddoctor.php.
Thank you!

Reply Date: 2016/12/21

More Info


Pityriasis rosea is a common skin condition that typically presents with a distinctive rash, often starting with a "herald patch" followed by smaller lesions that can spread across the body. While the exact cause of pityriasis rosea is not fully understood, it is believed to be associated with viral infections, particularly human herpesvirus 6 (HHV-6) and possibly HHV-7. The condition is generally self-limiting, meaning it usually resolves on its own within several weeks to a few months.

In your case, experiencing low-grade fever, dizziness, and mild headaches after vigorous exercise while having pityriasis rosea could be concerning, but it is essential to consider several factors. First, it's important to note that pityriasis rosea itself is not typically associated with systemic symptoms like fever or dizziness. The rash is primarily a dermatological issue, and while some individuals may report mild discomfort or itchiness, significant systemic symptoms are not common.

The symptoms you are experiencing—low-grade fever, dizziness, and headaches—could be attributed to several factors unrelated to pityriasis rosea. For instance, if you are engaging in intense physical activity, your body may be reacting to the exertion, leading to temporary symptoms such as fatigue, dehydration, or even heat exhaustion, especially if you are not adequately hydrating or if the weather is particularly warm. Additionally, if you have been feeling unwell or have had other viral infections recently, your immune system may still be responding, which could manifest as low-grade fever and malaise.

It is also worth considering that the stress of having a skin condition like pityriasis rosea can lead to anxiety or stress-related symptoms, which might contribute to feelings of dizziness or headaches. Stress can have a significant impact on physical health, and it is not uncommon for individuals to experience somatic symptoms when dealing with a health issue.

However, if these symptoms persist or worsen, it would be prudent to consult a healthcare professional. They may want to rule out other potential causes, such as infections, dehydration, or other underlying conditions. A thorough evaluation, including a physical examination and possibly some laboratory tests, may be necessary to determine the cause of your symptoms.

In summary, while pityriasis rosea itself is not typically associated with fever and dizziness, your symptoms could be related to physical exertion, dehydration, or other factors. If you continue to experience these symptoms, seeking medical advice is the best course of action to ensure there are no other underlying health issues. Remember to stay hydrated, rest adequately, and monitor your symptoms closely.

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