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Photo Description :
brown plaque in the midline of bake of this 12 years boy.tan thickened 3 cm midline plaque with fuzzy border and surrounding subtle erythema.

This 12-year-old boy had a habit of rubbing his back against his wheel chair. This area of thickened skin was present on his back for over a year. The lesion was not tender and it was contiguous with the overlyign skin.

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