PMC7007041_01
Thick crusts in anterior nasal cavity and on nasal tip with necrotic aspect
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f1
He had crusted vegetative lesions in the anterior nasal cavity and on the nasal tip, without oral lesions (Figure 1).
In chest, erythematous plaque, ulcerations, thick crusts, and flaccid bulla with purulent content in its lower portion
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f2
There was an erythematous plaque with ulcerations, thick crusts, and a flaccid bulla with purulent content in its lower portion, with three months of evolution and no improvement after antibiotic therapy (Figure 2).
Histopathology examination sho wing hyperkera tosis, epidermal acanthosis, suprabasal cleft with acantholy tic cells along the basal layer. (Hematoxylin & eosin, x400)
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f3
After biopsy of the two affected areas, the histopathological examination of the lesions showed epidermis with hyperkeratosis, foci of parakeratosis, suprabasal intraepidermal cleft, and acantholytic cells along the basal layer and the hair follicles; and in the dermis, mononuclear inflammatory infiltrate in between the basophilic degeneration of collagen (Figure 3).
Clinical aspect of nose after treatment with prednisone
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f4
Chest without lesions or scars after treatment
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f5