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July 1992

Giant Inflammatory Targetoid Plaques

Author Affiliations

University of Michigan School of Medicine, Ann Arbor

Arch Dermatol. 1992;128(7):982. doi:10.1001/archderm.1992.01680170115021

REPORT OF A CASE  A 62-year-old white man presented with an 8-month history of an annular erythematous lesion located on the patient's axilla, chest, and abdomen. Although the annular lesions had slightly enlarged over the 8-month period, they were generally asymptomatic, although with slight tenderness on rubbing. Significant history consisted of rheumatoid arthritis, peripheral neuropathy, and non-insulin-dependent diabetes mellitus; the patient received choline magnesium trisalicylate (Trilisate) and glipizide (Glucotrol) regularly. He denied any history of tick bite, fever, fatigue, pruritus, difficulty in breathing, cough, vision change, or Raynaud's phenomenon.Physical examination revealed several giant annular erythematous lesions on the patient's right axilla, right side of the chest, and abdomen (Fig 1). The individual lesions were annular erythematous nodular plaques with minimal or no scaling. An outer rim of erythema was present in some of the lesions, mimicking targetoid figures (Fig 2). Atrophy, sclerosis, or telangiectasias were not seen. Mucous membrane

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