The rash starts on the upper trunk, armpit and neck and spreads but does not usually involve the palms of the hands, soles of the feet or face, although the patient ’s cheeks will look flushed.
Lööve tekib kõigepealt ülakehal, kaenlaalustes ja kaelal ning levib sealt edasi, kuigi ei ulatu tavaliselt peopesadesse, jalataldadele ega näole, kuigi patsiendi põskedele tekib õhetus.