Red rash?
Top Pityriasis Rosea Diagnosis & Treatment in Honolulu
Pityriasis rosea appears suddenly, spreads quickly, and looks worrying — but it’s self-limiting and very manageable with the right care. Our board-certified experts in Honolulu diagnose it accurately and keep you comfortable through the resolution process.


Red rash?
Top Pityriasis Rosea Diagnosis & Treatment in Honolulu


Pityriasis rosea appears suddenly, spreads quickly, and looks worrying — but it’s self-limiting and very manageable with the right care. Our board-certified experts in Honolulu diagnose it accurately and keep you comfortable through the resolution process.
What Is Pityriasis Rosea?
Pityriasis rosea is a common, self-resolving inflammatory skin rash believed to be triggered by reactivation of human herpesvirus 6 or 7. It typically resolves on its own within six to twelve weeks but can cause significant itching and cosmetic distress in the meantime.
The Herald Patch
Pityriasis rosea almost always begins with a single large, oval, salmon-colored patch — the “herald patch” — that appears one to two weeks before the main rash erupts, often on the trunk.
The Secondary Rash
A widespread eruption of smaller oval patches follows, typically arranged along the skin’s tension lines in a distinctive “Christmas tree” pattern across the back, chest, and abdomen.
Atypical Presentations
In some patients — particularly those with darker skin tones common in Hawaii’s diverse population — pityriasis rosea can present with inverse distribution, papular lesions, or significant hyperpigmentation rather than the classic pattern.
The staff was pleasant, the wait was short, and the diagnosis and treatment was very straightforward. Dr. Musaev has excellent knowledge and explained things well. The procedure was quick and painless. Clinic location and parking was easy. A great community resource!
Yoichi Soma
Great experience at Hawaii Premier Dermatology! This was my first derm appointment and I am very happy I chose to come here. Justin was very knowledgeable and helpful and I even got something else checked that I didn’t originally plan on getting checked. I’ll be coming here from now on and I highly recommend!
Rhema Wong
Justin Maio and staff were super friendly. I was actually a bit late to my appointment but was still accommodated. Great experience.
Kim Nicely
Wonderful, respectful, easy to schedule, easy to check in. Doctor was prompt and thorough and kind. He spent as much time as needed with me. Definitely recommend Hawaii Premier Derm, thanks y’all!
Colby Kohler
Dr Tagai and his assistants were detailed and quick in my recent visit. They helped me navigate many paths forward for me to choose from based on my skin condition. Thanks!
Sumsum Smead
Very fast and professional. I was nervous at first as it was my first doctor appointment ever since I’ve moved here but everyone was very friendly and I felt so welcomed there . Thank you Dr. Tagai, Grace and the front staff .💕
Tiffany Ide
Justin Maio is #AMAZING. Such a wonderful person with a great personality, and he always puts you at ease–even when it can be scary getting biopsies! I would travel 50 miles anywhere on this island just to see him–and I already go 22! Best office with the nicest and most professional staff. I truly cannot say enough positive things–No joke!
Kathy Coryea
Had a worry about a skin cancer spot and was relieved when Dr. Tagai had a spot for me that week. He had excellent bedside manner and was compassionate when I was a bit of a wimp (okay, a big wimp) with the needle. Highly recommend him.
Cherie Y
After two years of wondering and self treating and many healthcare visits to the cheap clinics and constant AI asks, I paid out of pocket less than $400 for 2 visits to find out I have a rare skin condition called Actinic Dermatitis. Thank you Justin, now I know and now I can sleep well at night and understand what is NOT causing this. I really appreciate your expertise!
Tim Swartz
Wonderful experience! The staff was professional, kind, and attentive. Justin was very friendly, knowledgeable, and made me feel comfortable throughout the visit. Highly recommend this clinic!
Olena Mazur
Precision Diagnosis
Pityriasis rosea can closely mimic secondary syphilis, tinea versicolor, and guttate psoriasis — ruling these out is an essential part of the evaluation.
- Clinical Examination
We assess the herald patch, rash distribution, and lesion morphology to build a confident clinical diagnosis.
- RPR / Syphilis Serology
Depending on risk factors, we may further screen for secondary syphyllis
- KOH Prep or Skin Scraping
Rules out tinea versicolor and other fungal mimics before treatment is initiated.
The Hawaii Premier Difference
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- Evidence-Based Treatments
- Compassionate Approach
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- 1600 Kapiolani Boulevard Ste 508, Honolulu, HI, 96814
- Phone: (808) 400-6904
- Email: info@hawaiipremierderm.com
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