A 55-year-old white man presented with a 1-year history of a pruritic eruption on his left hip that slowly developed into verrucous, ulcerated annular plaques (Figure 1). He was otherwise healthy except for a history of scleritis of his right eye many years ago. He had not traveled outside of the state of Michigan and was retired from the automobile industry. A skin biopsy specimen was obtained (Figure 2 and Figure 3).
Sachs D, Su L, Dlugosz A. Verrucous Annular Ulcerated Hip Plaques. Arch Dermatol. 2000;136(10):1263-1268. doi: