A man aged 43 years presented with a persistent, progressively enlarging facial lesion that had persisted for more than 20 years.

An otherwise well girl aged 11 months presented to her general practitioner with an unusual lesion on her posterior neck.

In addition to their medical implications, these skin manifestations can be a source of patient distress as a result of symptomatology and cosmesis.

A broad differential diagnosis must be considered when encountering a case of rashes and joint pain.