PMC7083362_01
(A) Non-tender, flesh-colored papules and nodules on the face. An
enlarged, infiltrated nose and scaly plaques on the body are shown. (B)
One year after multibacillary-multidrug therapy.
1678-9849-rsbmt-53-e20180468-gf1.jpg
PMC7083362_01_1678-9849-rsbmt-53-e20180468-gf1.jpg
f1
He had several flesh-colored papules and nodules on the face, an enlarged and infiltrated nose, and nodules on the ears (Figure 1A). The patient showed marked clinical improvement one year after MB-MDT (multibacillary multi-drug therapy) treatment which he is continuing (Figure 1B).
(A) The characteristic proliferation of spindled shaped histiocytes
(H&E, 100x). (B) Distinct acid-fast bacilli (Modified PAS,
100x).
1678-9849-rsbmt-53-e20180468-gf2.jpg
PMC7083362_01_1678-9849-rsbmt-53-e20180468-gf2.jpg
f2
PAS, Warthin Starry, and a modified Ziehl-Neelsen stain highlighted numerous acid-fast bacilli (Figure 2).