ANSWER: ✅ Pityriasis rosea (P.rosea)
On the basis of the finding of a “herald” patch in the patient’s midaxillary line on the left side, a diagnosis of pityriasis rosea was made. Pityriasis rosea is a self-limiting disorder that typically affects children, adolescents, and young adults. The cause of pityriasis rosea remains unclear. It may be related to viral reactivation of human herpes virus 6 or 7.
© NEJM image challenge
The New England Journal of Medicine
September 4, 2025 | NEJM
Image Challenge from the New England Journal of Medicine — September 4, 2025

10September 6, 2025 8.7K 2 3