14. Granuloma annulare. As shown here, the lesions may closely resemble some forms of PB leprosy. Affects mainly children and young adults. The upper picture shows the common localised form. The lower picture illustrates a much less common widely distributed form. Papules or nodules appear in a ring-like (annular) pattern. Lesions are symptomless and there are no enlarged peripheral nerves. Sensation and sweating are normal.