A man in his 30s was hospitalized for multiple ulcerations of the digestive tract and general weakness from weight loss of more than 10%. He reported a 3-year history of diffuse, asymptomatic skin lesions. Physical examination revealed multiple plaques measuring approximately 1 cm with an atrophic porcelain-white center and an erythematous, telangiectatic rim (Figure 1). The lesions were localized mostly on the trunk (Figure 2) and upper extremities.