IJDVL
 

Figure 1 (a,b,c,d): a. multiple round to oval ulcers of variable sizes ranging from 2-3cm*1-2cm with well defined margins, sloping edges, overlying crusting and surrounded by peripheral hyperpigmentation present over dorsal aspect of both hands. Patchy gangrenous changes with areas of normalskin in between present on dorsal aspect of ring and little finger of left hand. b. close up view of variable sizedmultiple round to oval ulcers arranged in linear pattern on dorsal aspect ofright hand. c.single triangular ulcerwith sloping edges, floor covered by pale granulation tissue and surrounded by peripheral hyperpigmentation present on extensor aspect of left elbow. d. well defined variable sized ulcers surrounded by peripheral hyperpigmentationpresentondorsal aspectoffeet.

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