PMC4418386_01
There are several large one to two inch, discrete, yellowish-brown, necrotic crusted malodorous verucous plaques and tumors.
mjhid-7-1-e2015026f1.jpg
PMC4418386_01_mjhid-7-1-e2015026f1.jpg
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On initial presentation, the patient exhibited on his nose, forehead, scalp, cheek, neck, and bilateral upper and lower extremities, several large one to two inch, discrete, yellowish-brown, necrotic crusted malodorous verrucous plaques and tumors (Figures 1 and 2).
Skin biopsy from anterior scalp lesion. H+E Stain. A: Prominent dermal infiltrate of epithelioid histiocytes. Poorly formed granulomas with Giant cells are present. B: A dermal perifollicular lymphohistiocytic infiltrate is present. The lymphocytes are predominantly small with mildly irregular nuclear contours.
mjhid-7-1-e2015026f2.jpg
PMC4418386_01_mjhid-7-1-e2015026f2.jpg
f2-mjhid-7-1-e2015026
On initial presentation, the patient exhibited on his nose, forehead, scalp, cheek, neck, and bilateral upper and lower extremities, several large one to two inch, discrete, yellowish-brown, necrotic crusted malodorous verrucous plaques and tumors (Figures 1 and 2).