Case for discussion 45 year old male presented with hyperkeratotic lesions in a annular circumference placement on the right gluteal region only. Present and progressing since 13 years. Started in center as a Nodular keratotic lesion then slowly spread circumferentially History of applying steroid based creams. Sensation intact No h/o of itching IT IS NOT TINEA. 1. Describe the lesion 2. Give possible DD 3. What tests to do to get closer to diagnosis.

50 year old female patient presented with asymptomatic lesions over right forearm and growth over right middle finger since 6years she was treated with anti tb regimen inspite of that rapid progression of lesion diagnosis??

lesions are since last y-8 months. give ur differential diagnosis.

50M presenting with L foot wound. Thoughts? Diagnosis?

A14yrs boy sufferring from skin d/s since 3-4yrs..diagnosis and followup?