![]() While rare, some people only experience a herald patch, while others only experience daughter patches. Patches rarely appear on the face, scalp, palms, or soles, but may appear on the neck. If multiple daughter patches appear on the back, they may form the shape of a Christmas tree. Daughter patches can also occur inside the mouth. Daughter patches can appear over large areas of the body, including the chest, abdomen, and back. Unlike a herald patch, daughter patches are smaller in size and are oval shaped. Within one to two weeks of a herald patch appearing, daughter patches will begin to appear. ![]() On darker skin tones, a herald patch may appear violet to dark gray. On fair to olive-toned skin, the herald patch may appear pink or rose-colored. It can range in size from small to large (up to four inches) and is typically scaly. The herald patch will be the only patch to appear for approximately two weeks. A herald patch, also called a mother patch, is the first sign of pityriasis rosea. ![]() You may have heard of pityriasis rosea and you may have heard of a herald patch, but did you know the two are connected? Pityriasis rosea is a common skin disease that results in a rash.
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