Sometimes mistaken for frost damage, the disease manifests in early spring, wilting new leaves and causing mature leaves to turn brown along the veins. Infected leaves typically shrivel and fall, so that by summer the tree is regrowing its foliage. Cankers form on twigs and branches near infected leaves, serving to spread the disease by spore production and also weakening the tree. Because cankers restrict the flow of nutrients, twigs and branches afflicted by cankers eventually die. Witch's broom is a symptom reflecting the cycle of twigs dying.