10 Symptoms of Rocky Mountain Spotted Fever

9. Maculopapular Rash

The maculopapular rash of Rocky Mountain spotted fever starts out as flat, pink and small spots that don't itch, typically on the wrists, forearms or ankles. These spots, which appear two to five days after the onset of the high fever, tend to turn pale when you apply some degree of pressure on them. The spots can eventually become raised above the surface of the skin. In some patients, the rash only appears on the palms or soles, and some patients never develop a rash.