“…Apart from actinic granuloma, phagocytosis of elastin by multinucleate giant cells is a feature recognized in other inflammatory dermatoses such as necrobiosis lipoidica, 2 lupus erythematosis, 3 morphoea, 4 lichen planus, 5 syphilis, 6 drug induced eruptions 7 and cutaneous amyloidosis; 8 granulomatous disorders such as sarcoidosis, 9 granuloma annulare 10 and foreign body reactions; 11 and skin tumours, 12,13 which included cutaneous T‐cell leukaemia, basal cell carcinoma, squamous cell carcinoma, malignant melanoma and keratoacanthoma. We have also observed this feature adjacent to pyoderma gangrenosum.…”