PMC9889162_01
A scaly, erythematous patch on the anterior chest surrounding a previous surgical scar.
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fig1
A physical examination revealed an erythematous, scaly patch on her anterior chest surrounding a previous surgical scar (Figure 1) and well-circumscribed, reddish-brown, slightly scaly macules surrounding a large atrophic scar from a prior skin graft on the right leg (Figure 2).
Well-circumscribed, reddish-brown, slightly scaly macules surrounding a large atrophic scar figure from a prior skin graft on the right leg.
CRIDM2023-7751754.002.jpg
PMC9889162_01_CRIDM2023-7751754.002.jpg
fig2
A physical examination revealed an erythematous, scaly patch on her anterior chest surrounding a previous surgical scar (Figure 1) and well-circumscribed, reddish-brown, slightly scaly macules surrounding a large atrophic scar from a prior skin graft on the right leg (Figure 2).
H&E-stained biopsy specimen at 10x magnification.
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fig3
The patient underwent 4 mm punch biopsies of the chest and right leg which revealed scattered, well-formed, non-necrotizing granulomas involving the dermis, composed of epithelioid histiocytes and multinucleated giant cells surrounded by a sparse infiltrate of lymphocytes and histiocytes (Figures 3 and 4).
H&E-stained biopsy specimen at 40x magnification.
CRIDM2023-7751754.004.jpg
PMC9889162_01_CRIDM2023-7751754.004.jpg
fig4
The patient underwent 4 mm punch biopsies of the chest and right leg which revealed scattered, well-formed, non-necrotizing granulomas involving the dermis, composed of epithelioid histiocytes and multinucleated giant cells surrounded by a sparse infiltrate of lymphocytes and histiocytes (Figures 3 and 4).