Do you recognize these ring-shaped lesions?

A 69-year-old woman with a history of hypertension and irritable bowel syndrome presents with multiple ring-shaped lesions on both hands. The lesions are non-pruritic and developed over the past four days. When she visits for follow-up two weeks later, the lesions remain present. What is the most likely diagnosis?
A. Erythema multiforme
B. Erythema toxicum
C. Tinea corporis
D. Granuloma annulare

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Christy Crisologo

Christy Crisologo is SDN’s Editor-in-Chief. She earned her BA in Communications from Asbury University and lives in Texas with her husband (and primary connection to the medical world) and their two young children. 

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2 thoughts on “Do you recognize these ring-shaped lesions?

  • D. Granuloma annulare

    Can’t be “A” because it is not red in the center and patient does not present with pain or itch. Can’t be “B” which pertains to newborns at birth. Can’t be “C” because that is fungal and there is no scaliness.