PMC7983232_01
Prior to treatment, indurated depressed plaques were present on the (a) left
shoulder and left triceps, (b) left mid-back, and (c) mid-forehead.
10.1177_2050313X21993304-fig1.jpg
PMC7983232_01_10.1177_2050313X21993304-fig1.jpg
fig1-2050313X21993304
On skin examination, there were three ill-defined indurated, depressed plaques measuring 10 cm x 15 cm on the left mid-back, 7 cm x 7 cm on the left posterior shoulder, and 15 cm x 3 cm linear induration extending to the left forearm (Figure 1(a) and (b)). When the patient returned to our clinic, a new linear depressed plaque on the mid-forehead was noted (Figure 1(c)).
Three months post-treatment with oral methotrexate and oral corticosteroids,
reduced size of the indurated plaques was observed on the (a) left shoulder
and left triceps and (b) left mid-back. The linear grove mid-forehead (c)
remained stable.
10.1177_2050313X21993304-fig2.jpg
PMC7983232_01_10.1177_2050313X21993304-fig2.jpg
fig2-2050313X21993304
After 3 months of therapy, the size and induration of the truncal plaques had improved (Figure 2(a) and (b)). The linear groove over her forehead remained stable (Figure 2(c)).