PMC6312576_01
(a) Multiple painful genital and inguinal ulcers. (b) Ulcers extension to perianal region. (c), Ulcer in the right leg.
CRIDM2018-7474135.001.jpg
PMC6312576_01_CRIDM2018-7474135.001.jpg
fig1
There was a rapid progression of the ulcers, with an increase in their size, number, and the extension to the perianal region, thighs, and right leg (Figure 1).
(a) 20x H/E. Skin and subcutaneous adipose tissue with ulcer and tissue necrosis. (b) 400x PAS. Septate and fragmented hyphaes of medium thickness in dermis with invasion of blood vessels.
CRIDM2018-7474135.002.jpg
PMC6312576_01_CRIDM2018-7474135.002.jpg
fig2
Biopsies of the vulvar and right leg lesions were taken and, on the PAS staining of the latter, septate hyphae were found, some with ramifications at acute angles and with invasion of blood vessels (Figure 2).