PMC3481803_01
Erythematous nodules and plaques over both palms
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F1
Ocular congestion showing scleral vessels, more prominent over right sclera
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F2
Bilateral scleral congestion was present. [Figure 2]. Both knee and ankle joints were swollen and tender with restricted movements.
Photomicrograph showing hyperkeratotic, acanthotic epidermis overlying dermis containing perivascular mixed inflammatory infiltrate comprising lymphocytes, neutrophils along with nuclear dust and fibrinoid necrosis of the vessel wall and extravasation of RBCs with focal areas of basophilic collagen (H and E, x10)
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F3
There was presence of focal areas of basophilic collagen [Figures 3 and 4].
Photomicrograph focusing on a dilated blood vessel with edematous wall, surrounded by inflammatory infiltrate containing lymphocytes, neutrophils and nuclear dust (H and E, x40)
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F4
There was presence of focal areas of basophilic collagen [Figures 3 and 4].