Red rash. Red rash is a first symptom of rubella. Moreover, the rash in adult patients differs from the children’s one. In fact, in adults the spots merge with each other forming large patches. The rash first appears as small pink spots behind the ears and on the nose, then it spreads to the hands and torso, moving gradually to the lower part of the body. Rubella spots may remain on the skin surface for 5-7 days.