PMC5727651_01
Multiple hyperpigmented papules and some vesicles present over the right side of the nose.
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There was no history of any fluid or cheesy material coming out of the lesions and no history of itching or burning (Figure 1).
Histopathology: epidermal hyperplasia with spongiosis. Dermis shows villous hair follicle with sebaceous gland hyperplasia with peri-infundibular infiltrate of lymphocytes and plasma cells with dilated capillaries and extravasation of hemosiderin.
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Papillary dermis shows dilated capillaries with extravasation of hemosiderin (Figure 2).
Three weeks after treatment with topical tacrolimus.
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After 15 days of follow-up, the patient has shown good response (Figure 3).