The rash may be accompanied by low-grade headache, fever, nausea
and fatigue
and itching. Topical
and oral steroids are needed. Water, sweat,
and soap may cause irritation and should be avoided in the disease. Topical zinc oxide and calamine lotion are useful for pruritus.
Initially, a primary plaque, called a herald patch, is seen. Then it is followed by a distinctive, generalized rash 1-2 weeks later.