A 65-year-old healthy man presented to the dermatology clinic with a 5-month history of a progressively enlarging annular rash over his right hand and forearm. Professional background : Farmer Erythema had developed after trauma to hand from agricultural work. Remedies he opted for Topical administration of a mixture of juices and fragments from herbs. There was no improvement in his condition.

Physical examination Large, non-tender, annular areas of erythema over the dorsum of the right hand and forearm with ulceration and crusting (Panel A) . Biopsy results Panel B shows a macroscopic view, and Panel C shows a microscopic view. Source : The New England Journal of Medicine ##Disclaimer## The content provided on Docplexus is intended for educational purposes only. While we strive to ensure its accuracy, we make no warranties, explicit or implied, about the suitability, reliability, or…