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Christmas Tree Rash of Pityriasis rosea - small oval scaling patches - Christmas tree pattern - long axis of lesion parallel to lines of skin stress - Do not involve palms/soles - Differential diagnosis: secondary syphilis (involve palms/soles!); nummular eczema, tinea #ChristmasTree #Rash #Pityriasis #rosea #clinical #dermatology #photo #PhysicalExam