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An Enlarging Plaque

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Poll

What figures into your differential of a slowly enlarging asymptomatic plaque, like the one on this child's hand?


A 5-year-old girl presents with an asymptomatic, slowly enlarging plaque on her hand with a slightly depressed hyperpigmented central portion and a distinct rim.
 

What does this look like to you?

A. Lichen planus
B. Erythema annulare centrifugum
C. Granuloma annulare
D. Necrobiosis lipoidica
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