PMC3189472_01
Multiple violet skin lesions in the right lower extremity of the patient. Pitting edema of the ankle and foot is also demonstrated. The inlet depicts one of the lesions, where an orifice leading to a pus collection is shown.
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fig1
Inspection of the lower extremities showed multiple, painless, erythroviolet, round, and clearly delineated nodular lesions, 2-5 cm in size, which were localized in the lower right leg and foot (Figure 1).
Ziehl-Neelsen staining of pus obtained from a draining lesion reveals multiple acid-fast bacilli.
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fig2
Direct microscopic examination after Ziehl-Neelsen staining was positive for acid-fast bacilli (Figure 2).
Photograph taken 6 months after treatment shows healing of the skin lesions with complete cessation of discharge and residual discoloration.
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fig3
Upon several follow-up visits, the patient remained afebrile and the cutaneous lesions were gradually eliminated (Figure 3).