REPORT OF A CASE
A 38-year-old man from Afghanistan presented for treatment of asymptomatic annular facial skin lesions. Present for 3 to 4 years, they were slowly enlarging at their periphery.On physical examination, three distinct annular lesions, measuring 2 to 4 cm, were located on the cheek, nose, and anterior aspect of the neck (Fig 1). Central clearing with scarring and hypopigmentation was noted. The active border consisted of confluent erythematous papules. Scale, vesicles, pustules, or ulceration was not noted. Involved areas were nontender and retained normal sensation. No regional adenopathy was noted, and the results from the head, ear, eyes, nose, and throat examination were unremarkable, as was the remainder of the physical examination.Laboratory studies included a complete blood cell count, hepatic and renal function studies, syphilis serology, and erythrocyte sedimentation rate. All showed normal findings.The chest roentgenogram was significant for apical fibronodular and fibrocalcific
Werschler WP, Elgart ML, Williams CM. Progressive Asymptomatic Annular Facial Skin Lesions. Arch Dermatol. 1990;126(9):1230a–1230b. doi:10.1001/archderm.1990.01670330111021
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