PMC4857691_01
Multiple well-defined hyperpigmented papules and nodules on the following: (a) Medial aspect of left foot and ankle, (b) Lateral aspect of left foot, (c) Bilateral feet
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F1
Cutaneous examination revealed multiple well-defined nontender hyperpigmented papules and nodules on both ankles, dorsum of bilateral feet and soles [Figure 1a-c].
Photomicrograph showing diffuse dense infiltrate of neutrophils, histiocytes with scattering of lymphocytes and plasma cells, and small amount of neutrophilic nuclear dust in reticular dermis (H and E, x400)
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F2
Small amount of neutrophilic nuclear dust was also present within the infiltrate [Figure 2].