Often pityriasis rosea is described as ovoid pink patches with fine scale overlying the trunk and extremities; however, when viewing a wide range of skin tones we can distinguish that this is not the case. As you can see these patches are not always pink—they can appear more hypo- or hyperpigmented.

It is important to note that central purpura can be observed more commonly in darker skin tones, also recognized as the rarer hemorrhagic variant.

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