“…Clinically, lesions present on the face or neck when acquired from hematogenous spread and present on the extremities when exogenously reinoculated. 18 , 23 , 24 On exam, the lesions are nontender plaques or nodules with ulceration 25 and are characterized as apple jelly nodules on diascopy. 18 Lesions may progress to well-defined, scaly, erythematous plaques.…”