Description of Skin Lesions: This 49-year-old female had a 9-month history of smooth, slightly erythematous papules arranged in annular plaques on the dorsal aspects of both hands (see Figure 1).

Cutaneous lesions are often erythematous lesions, raised or flat, sometimes with fine scale. They may also be annular (see Figure 1). The vast majority of NLE infants (90% to 95%) will have ...