Actinic Granuloma - A 50-year-old woman presented with an 18-month history of asymptomatic skin lesions on her forehead (Panel A) and the dorsum of her hands (Panels B and C). The lesions were well demarcated, erythematous, coalescing annular plaques with raised borders and slightly atrophic centers. Over time, the lesions gradually increased in number and slowly extended centrifugally. #Clinical #Derm #ActinicGranuloma #Actinic #Granuloma #NEJM