The lesion began as a small birthmark and has continued to grow, and is now ulcerated. The lesion is painful and has begun to ooze. The lesion is a large erythematous plaque with ulceration ...

The left upper shin had two small clustered sclerotic areas with small ulcerated areas in the center (see Figure 1). The right shin had a few discolored patchy looking areas (see Figure 2).