Erythematous, discrete, rounded plaques with central erosion and crust. There are sparse eczematous patches nearer the elbow, but most lesions are discrete.

Lesions are thick and severely eroded by picking and scratching. The edges are hyperpigmented.

In neurotic excoriations, the linearity of the lesions, oriented in a direction of a natural scratch or ‘dig’, is common. These pink patches are scars, some with fresh but recurrent excoriation.