10th July 2023

A 48-year-old woman presents with new lesions on her hands

A 48-year-old woman presents with new lesions on her hands (see image below). On examination, you note that the lesions appear to have central depressions. Her past medical history includes Type 2 diabetes mellitus, which has been relatively well controlled on oral medications over the last 4 years.

New lesions on the hands

What is the most likely clinical diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.