Lesions begin as multiple small circular macules in various colors (white, pink-brown) that enlarge radially. Lesions may be inconspicuous in fair-complexioned individuals during winter.

Extensive eruption in a dark-skinned person. Lesions are lighter than normal skin; accentuated when uninfected skin tans. Demonstrating the fine scale helps differentiate from vitiligo.

Lesions may be pink or white in fair skinned patients. This extensive eruption has spread down onto the abdomen.