Actinic granuloma presenting as tender, linear plaques on the lateral fingers in a patient with newly diagnosed esophageal cancer

INTRODUCTION Actinic granuloma is a granulomatous reaction resulting from longstanding sun damage to the dermis. It is described clinically by the appearance of flesh-colored or pink papules, which classically coalesce into annular lesions. Diagnosis is typically made histopathologically, with findings of granulomatous inflammation associated with elastophagocytosis andmacrophage ingestion of elastotic fibers. We report the details of a 67-year-old man with an unusual presentation of actinic granuloma, with linear plaques of the lateral fingers in the setting of recently diagnosed esophageal cancer.