PMC3777285_01
Clinical photograph showing irregular, nodular, and discolored lesions on the forearm
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F1
On local examination, there were irregular, nodular, erythematous lesions with induration, scarring and discoloration of the overlying skin on the left forearm and anterior chest wall region below the nipple [Figures 1 and 2].
Clinical photograph showing erythematous, nodular, irregular lesions on the anterior chest wall, below the left nipple
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F2
On local examination, there were irregular, nodular, erythematous lesions with induration, scarring and discoloration of the overlying skin on the left forearm and anterior chest wall region below the nipple [Figures 1 and 2].
X-ray elbow (Anteroposterior and lateral view) showing diffuse deposition of metal (mercury) in the subcutaneous plane
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F3
X-ray showed diffuse deposition of metallic material (mercury) in the soft-tissue upto subcutaneous plane in the left forearm and chest wall [Figures 3 and 4].
X-ray chest Posteroanterior view showing irregular diffuse deposition of mercury in the subcutaneous plane
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F4
X-ray showed diffuse deposition of metallic material (mercury) in the soft-tissue upto subcutaneous plane in the left forearm and chest wall [Figures 3 and 4].
Gross photograph showing tissue bits with some shiny material on cut surface
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F5
After minute observation some shiny material was seen in the few tissue bits [Figure 5].
Photomicrograph showing multiple, dark black, opaque, spherical globules, surrounded by granulomatous reaction (H and E, x100)
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F6
Subepithelial tissue showed multiple granulomas composed of central spherical dark, black colored opaque globules, surrounded by foreign-body type of multinucleate giant cells, histiocytes, and inflammatory infiltrate composed of lymphocytes, plasma cells, and few eosinophils [Figure 6].