Are cold showers beneficial for pityriasis (pityriasis) rosea?

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Last updated: May 10, 2025View editorial policy

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From the Research

Cold showers are not recommended for treating pityriasis rosea, as they have not been proven effective for this condition. Pityriasis rosea is a common, self-limiting skin rash that typically resolves on its own within 6-8 weeks without treatment. For symptom relief, lukewarm baths or showers are generally better than cold ones, as extreme temperatures (either hot or cold) may irritate the skin and potentially worsen itching.

Treatment Options

If you're experiencing discomfort from pityriasis rosea, over-the-counter antihistamines like diphenhydramine (Benadryl) or cetirizine (Zyrtec) may help reduce itching, as suggested by 1. Topical treatments such as calamine lotion, hydrocortisone cream (0.5-1%), or moisturizers can also provide relief.

Medical Interventions

According to a recent study 2, acyclovir represents the best option for patients with PR that have extensive, persistent lesions or systemic symptoms. Steroids and antihistamines seemed the best treatment for itch resolution.

Additional Considerations

Mild to moderate sun exposure has shown some benefit in certain cases, though this should be approached cautiously to avoid sunburn. If your symptoms are severe or persistent, consult a healthcare provider who might prescribe stronger anti-inflammatory medications or other treatments specific to your situation. The exact cause of pityriasis rosea remains unknown, though it's believed to be triggered by a viral infection, which explains why symptomatic treatment rather than specific cures is the standard approach, as noted in 3 and 4.

References

Research

Pityriasis Rosea: Diagnosis and Treatment.

American family physician, 2018

Research

Pityriasis Rosea: An Updated Review.

Current pediatric reviews, 2021

Research

Interventions for pityriasis rosea.

The Cochrane database of systematic reviews, 2019

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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