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Skin papular lesions (A) progressed with central ischemia and necrosis (B).
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Some of the papular lesions progressed with central ischemia and necrosis (Fig. 1).
Skin biopsy showing abundant septate hyphae structures. (A) 200x hematoxylin-eosin stain revealing basophilic yeast and hyphae structures in superficial dermis and perivascular sites, with minimal inflammatory component. (B) Skin biopsy in 100x Periodic acid-Schiff stain, revealing fungal cell walls in magenta. (C) 200x Grocott's methenamine silver stain, revealing intravascular and epidermal fungal structures, stained in black.
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A skin biopsy revealed abundant hyphae structures (Fig. 2).