PMC3140147_01
Papulonodular lesions over the face with crusting
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F0001
On examination, he had multiple, discrete, mildly tender, hyperpigmented, papulonodular lesions, distributed over the face [Figure 1], neck, chest, back and oral cavity.
Conjunctival nodule with congestion in the right eye
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F0002
A bright red, elevated, non-mobile, bulbar conjunctival nodule with congestion was present in the right eye [Figure 2].
Bone marrow aspirate smears showing a reactive marrow with few extracellular and intracellular histoplasma within macrophages (Leishman stain, x100)
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F0003
Histopathological section of the conjunctival specimen showing numerous macrophage aggregates with Period Acid Schiff (PAS)-positive histoplasma (PAS stain, x100)
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F0004