| • | AKA annular elastolytic giant cell granuloma; Miescher’s granuloma |
| • | distribution: photo-distributed |
| • | some say it is GA of the face, others say it is NLD of the face |
| • | central atrophy may be prominent |
histology:
| • | three distinct zones in dermis (radially): |
| 1. | external “normal” skin: actinic elastosis |
| 2. | thickened annulus: giant cell inflammatory reaction in relation to elastotic fibers |
| 3. | within annulus: little or no elastic tissue remains |
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