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Granuloma annulare may present as a serpiginous , hyperpigmented skin discoloration, but the skin lesions would be raised papules, not just macular skin changes as in this case.
Volar aspects of the wrists contained multiple serpiginous scaling lesions.
The rupture of the posterobasal portion of the heart characteristically presents with a complex morphologic structure with serpiginous and hemorrhagic tracts away from the primary laceration.
Urticaria may present with serpiginous lesions.
Histology revealed a highly cellular, primarily diffuse and focally serpiginous growing tumor with pushing borders and extensive necrosis.
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