Pityriasis rosea (PR) is a common self-limited exanthem of unknown cause. The typical presentation of PR is easily recognized. Since purpuric PR is a very rarely seen variant, its diagnosis is sometimes difficult. In our 16-year-old female patient, maculopapular eruptions were healed spontaneously after one month. Erythrocyte extravasation in the dermis was observed in the histopathologic examination.