Which best describes the distribution of the roseola rash?

• A. Face first
• B. Trunk first and then face/extremities
• C. Hands first
• D. Feet first

Answer: (B)

Roseola rash follows fever resolution and classically spreads from the trunk outward to the neck, face, and then the extremities. This trunk-first distribution is a key clue, helping distinguish it from other pediatric rashes that often begin on the face (like some exanthems) or have different patterns. The rash itself is typically pink, maculopapular, and blanching. So, starting on the trunk and then appearing on the face and extremities best fits roseola.