Annular Elastolytic Giant Cell Granuloma

Figure 1: Multiple asymptomatic dusky red annular patches with raised edge around his knees annular infiltrative plaques over the dorsum of his arms and forehead for six years. Mild central atrophy was noted in each lesion. There was no loss of sensation or enlargement of the peripheral nerves. There was no similar skin lesion in his family members. No significant drug history was noted. He came to Hong Kong for four years and worked as a security guard for 12 years with 12-hour outdoor patrol each day.