Hyperpigmentation and thickening of skin with callosity formation over dorsum of both feet and healed ulceration over left lateral malleolus in a patient with type 2 diabetes performing prolonged prayers

Raised lesions on the ankles

“…Hyperkeratosis of the ankles is often bilateral, although unilateral presentations occur, with the left ankle more affected 1. Rarely, the lesions can also be complicated by chronic ulcers 3…”