PMC9837630_01
(A) Jaundice and erythematous papules on the face. (B) Violaceous papules with slight desquamation and a linear lesion in the cervical region.
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In the cervical region, the papules were violaceous, with slight desquamation (Figure 1, Figure 2).
Erythematous papules on the abdomen (A) and axillary area (B).
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In the cervical region, the papules were violaceous, with slight desquamation (Figure 1, Figure 2).
Computed tomography of the abdomen; yellow circle: intrahepatic bile duct ectasia; red circle: pancreas of heterogeneous volume and density; orange circles: enlarged intra-abdominal lymph nodes; blue arrows: bilateral pleural effusion; green circles: hepatosplenomegaly.
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(A) Hematoxylin & eosin staining: chronic granulomatous inflammation process, with a large number of neutrophils and multinucleated giant cells containing rounded structures in the cytoplasm. (B) Grocott staining: brown spherical structures with multiple budding giving them a "marine pilot's wheel" or "Mickey Mouse ears" appearance.
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The Grocott staining showed spherical structures stained in brown, with multiple budding cells with a "marine pilot's wheel" and "Mickey Mouse ears" appearance (Fig. 4).