PMC3481907_01
Clinical photograph showing a large plaque over right upper limb and right side of the chest before treatment
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F1
He developed similar lesions, one over the right thigh after about 2 years of the first lesion that gradually enlarged to involve most of the thigh circumferentially and one more lesion over the left side of the back since one year [Figure 1].
Skin biopsy showing hyperplastic epidermis, upper and mid dermis showing noncaseating epitheloid granulomas with Langhan's type of giant cells
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F2
HIV was nonreactive. Histopathologic examination of the biopsy specimen revealed hyperplastic epidermis, upper and mid-dermis showing numerous noncaseating epitheloid granulomas with Langhan's type of giant cells [Figure 2].
Clinical photograph after 12 weeks of ATT showing healing with scarring and atrophy
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F3
After 12 weeks, there was almost total healing of the lesions [Figure 3].