A Clinical Atlas of 101 Common Skin Diseases Chapter 35. Granuloma Annulare Distribution Fig. 35-1 Annular papules and plaques. Fig. 35-2 Macules and papules, some of them in annular configuration, as well as patches and plaques. Fig. 35-3 Macules and papules, some of them confluent forming patches and plaques. Fig. 35-4 Papules and nodules. Fig. 35-5 Papules, some having become confluent to form a plaque with scalloped outlines.