Symptoms and signs pertaining to involvement of the skin and nerves are most commonly encountered, including hypopigmented macules and sensory loss (Ref.
Left untreated, the area can quickly excoriate and progress to macules and papules, which form erosions and crust.
It starts around the wrists and ankles, as flat pink marks (called macules).
Over a couple of days, the macules turn a reddish-purple color.
In some cases, these are known as macules, or the flat, red-tinted spots that appear during the pimple's final stage.