Below is an instruction from Human. Write a response.
    ### Instruction:
    What are the symptoms of Pityriasis rubra pilaris ?
    ### Response:
    What are the signs and symptoms of Pityriasis rubra pilaris? Features of this condition vary greatly between affected individuals. The onset is gradual in the familial type and can be more rapid in the acquired type. Redness and scaling of the face and scalp are often seen first, followed by redness and thickening of the palms and soles.
    