Raised lesions on the ankles
BMJ 2023; 383 doi: https://doi.org/10.1136/bmj-2022-074383 (Published 05 October 2023) Cite this as: BMJ 2023;383:e074383
- Guillaume Dejonckheere, dermatologist,
- Mathieu Daoud, dermatologist,
- Jonathan M White, dermatologist
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
- Correspondence to G Dejonckheere drdejonckheere{at}gmail.com
A man in his 40s presented with a five year history of two painless, gradually enlarging, hyperkeratotic lesions on the lateral sides of the ankles (fig 1). He reported praying for approximately 50 minutes each day. The prayer posture involved kneeling and sitting on the dorsolateral aspect of the ankles. His feet were positioned parallel to each other, slightly apart, with weight equally distributed on both feet to maintain stability.
Hyperkeratotic plaques on the ankles
Physical examination showed two well demarcated, non-tender, hyperkeratotic plaques. Both were of similar size and thickness, …
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