Multiple waxy, yellow-ivory papules are characteristically aligned along the eyelid margins, resembling a 'string of beads'.
Solitary or multiple firm, waxy nodules or plaques appear on the face, scalp or extremities and may have surrounding purpura.
Numerous, small, skin-colored or yellowish, waxy papules are closely set in a linear or symmetrical distribution on the face, neck, and arms.
Waxy, purpuric papules and plaques are characteristically found in a periorbital distribution ('pinch purpura') and in skin folds.
Soft, yellowish, velvety papules and plaques are located symmetrically on the eyelids, particularly near the inner canthus.
