PMC7190464_01
A well-circumscribed erythematous plaque, consisting of pendulous, wrinkled, lax skin, occupying the axilla is typical of granulomatous slack skin.
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Clinical examination revealed a well-circumscribed erythematous plaque, consisting of pendulous, wrinkled, lax skin, unilaterally affecting the axillary fold (Figure 1).
(A) The dermoscopic pattern consisting of pale orange areas on an erythematous background together with fine linear vessels is indicative of a granulomatous skin disease. (B) Dermal infiltrate consisting of atypical, irregular, convoluted lymphocytes, together with multinucleated giant cells (H&E, x40).
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Dermoscopy showed pale orange areas on an erythematous background and fine linear vessels (Figure 2A), which were suggestive of a granulomatous dermatosis. Histological examination following a biopsy revealed a dense granulomatous infiltrate in the dermis, composed of atypical lymphocytes, macrophages, and giant cells (Figure 2B), along with a loss of elastic tissue.