[5] Within the same patient, the clinical manifestation may vary at different parts of the scalp or even within the same afflicted hair.

[6][7][8] The clinical examination typically finds the hair to be shiny and banded, with an occasional odd shimmering texture or even frizzy look.

[10] A small percentage of cases show significant trichorrhexis-nodosa-like hair fracturing and breakage together with enhanced sensitivity at the light band level.

[6] A distinctive look with alternating bright and dark stripes in the hair shaft is revealed by light microscopy.

[10] Since pili annulati is a benign illness for which individuals never seek medical attention, treatment is frequently not necessary.