PMC6362750_01
Involvement of face including forehead, nose, bilateral malar region, and ears in the form of multiple discrete, hyperpigmented plaques
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F1
Dermatological examination revealed involvement of face including forehead, nose, bilateral malar region, and ears in the form of multiple discrete hyperpigmented plaques [Figure 1].
Multiple coalescing scaly plaques present over back
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F2
Post inflammatory hyperpigmented macules were seen in the areas adjoining the plaques [Figure 2].
(H and E, x100). Skin biopsy showed mild focal basal layer degeneration, focal dyskeratotic keratinocytes, and perivascular inflammatory infiltrate in superficial dermis
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F3
Skin biopsy showed mild focal basal layer degeneration, focal dyskeratotic keratinocytes, and perivascular inflammatory infiltrate in superficial dermis [Figure 3].
Radiograph of both hands and wrists showed periarticular osteopenia and early erosions of the base of proximal phalanges of bilateral 2nd digits
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F4
Radiograph of both hands and wrists showed periarticular osteopenia and early erosions of the base of proximal phalanges of bilateral 2nd digits, features suggesting inflammatory polyarthritis of both hands [Figure 4].