ðiːz ɛkstˈɜːnəl sˈɪmptəmz jˈuːʒuːəli bɪɡˈɪn ɔnðə hˈɛd ænd nˈɛk, bˌʌt ᵻvˈɛntʃuːəli spɹˈɛd θɹuːˈaʊt ðə bˈɑːdi, bˌiːɪŋ ɪspˈɛʃəli kˈɑːnsəntɹˌeɪɾᵻd ɔnðə lˈɪmz ænd dʒˌɛnɪtˈeɪliə.
These external symptoms usually begin on the head and neck, but eventually spread throughout the body, being especially concentrated on the limbs and genitalia.