A 29-year-old man from Saudi Arabia presents with slightly tender skin lesions that have manifested in crops over the past seven years. The patient denies fever, chills, sweats, chest pain, shortness of breath, and unexpected weight loss. Physical exam reveals multiple erythematous papulonodules, some ulcerated with a superficial crust, grouped predominantly on the medial aspect of the right upper arm and left lower inguinal region. Isolated lesions are also present on the forearms, dorsal aspects of the hands, abdomen, and thighs.

^{Source: Cutis. 2017;100(1):E15-E17.}