Practical, Conceptual or Educational Notes | Dermatol Pract Concept 2013;4(3):4 31 DERMATOLOGY PRACTICAL & CONCEPTUAL

www.derm101.com Actinic granuloma is a rare, idiopathic disorder of middle-aged adults that always appears in sun-exposed skin [1,2]. It is a form of granulomatous dermatosis characterized by annular plaques with central atrophy and raised erythema-tous margins that are similar to those observed in granuloma annulare (GA) [3]. A 42-year-old man presented with a three-month history of an asymptomatic erythematous annular and serpiginous lesion on his forehead. There was no history of preced-ing trauma to the area. He was not on any medications. Examination revealed an erythematous to brown annular to serpiginous plaque with central atrophy (Figure 1). Systemic examination revealed no abnormalities. Results of full blood count and multiple biochemical analyses were unremarkable