Pityriasis alba is a common condition primarily affecting children, but not exclusively, and especially those with atopic diathesis (eg, asthma, allergic rhinitis and conjunctivitis, atopic dermatitis). Classic pityriasis alba is characterized by ill-defined hypopigmented macules or patches, ranging in size from 0.5-5 cm, occurring on the face or upper body. Lesions may be asymptomatic or mildly pruritic. 

Pityriasis alba often has a chronic course, tends to relapse, and usually worsens in the summer with increased sun exposure. It predominately occurs in children between the ages of 3 and 16 years and is found equally in both sexes. In the majority of patients, spontaneous resolution typically occurs before adulthood. This disorder is common in all ethnicities, although the hypopigmented lesions are more obvious in patients with darker skin colors.

The exact cause of the condition is unknown, although the characteristic hypopigmentation may be secondary to a preceding subclinical dermatitis. Environmental triggers such as heat, humidity, sunlight exposure, detergents / soaps, abrasive clothing, chemicals, and smoke, along with stress, may aggravate this disorder. Microorganisms such as Pityrosporum, Streptococcus, Aspergillus, and Staphylococcus may also be triggers. Evidence also suggests that pityriasis alba is a mild eczematous dermatitis.