Peer Reviewed
Dermatology clinic

Annular serpiginous lesions with decreased sensation

Steven Kossard
Abstract
A man presents with three annular lesions that have central areas of diminished sensation. What are these lesions and how should they be treated?
Key Points
    Over a two-year period, a 54-year-old missionary developed on his trunk three persistent, annular lesions measuring up to 5 cm in diameter. Each lesion had an elevated, oedematous, serpiginous border that had slowly migrated, leaving a central pale area that had diminished sensation (Figure 1). Skin biopsy from the annular border revealed multiple dermal granulomas with admixed lymphocytes and occasional plasma cells. Nerves in the deep dermis were inflamed (Figure 2).
Get full access
Subscribe for full access to all articles
Buy this article

Single article purchases are temporarily unavailable due to site maintenance.

If you would like to purchase an article during this time, please email us at [email protected] with the article details and we'll assist you directly. We'll also let you know when online purchasing is available again.

Thank you for your patience and understanding.

Already a subscriber?