Clinical manifestation

Localized variant: flesh-colored to dull red papules, often in an annular arrangement, over distal extremities; often occur over dorsal surfaces of feet, hands and fingers, and the extensor aspects of arms and legs Generalized variant: few to thousands of flesh-colored to dull red papules involving multiple body regions, often in symmetrical distribution; papules may coalesce into annular or arcuate plaques; may have large red patches (vascular granuloma annulare) Subcutaneous variant: firm, nontender, flesh-colored-to-pinkish papules or nodules without overlying epidermal alteration, often over the lower extremity

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