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Kappa P. Meadows, MD; Margretta A. O'Reilly, MD; Ronald M. Harris, MD; Marta J. Petersen, MD
University of Utah Health Sciences Center (Drs Meadows, O'Reilly, and Petersen) and LDS Hospital (Dr Harris), Salt Lake City, Utah

Arch Dermatol. 2001;137:1647-1652.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 62-year-old man presented with a 2-year history of an annular lesion encircling the anterior aspect of his chest and neck in a necklace distribution. He had received no prior treatment of this lesion and denied trauma to the region. His medical history was remarkable for the excision of a melanoma from both the right submandibular area (Clark level II) and the right temple (Clark level IV), hypertension, proteinuria, degenerative joint disease, gastroesophageal reflux disease, tobacco and alcohol abuse, and hypercholesterolemia.

Physical examination revealed an erythematous annular plaque with a distinct 1- to 2-mm raised border, central atrophy, and surrounding telangiectasias. The lesion encircled the anterior chest area and extended onto his posterior neck area and into the hairline bilaterally. There was no overlying scale (Figure 1). The findings of his skin . . . [Full Text of this Article]

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