PMC9816882_01
fistulas of the axillary area associated with lymphadenopathy
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F1
It is 5cm in diameter with many fistulas and umbilicated papules adhering to the deep plane with ipsilateral lymphadenopathy (Figure 1).
folliculitis located in the face and the chest area
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F2
The rest of the skin examination spotlights lesions of predominant folliculitis at the back, the trunk, and acne on the face (Figure 2).
surgical specimen: skin flap carrying all the fistulas and its deep extension with profound adhering lymphadenopathy, visible on the image
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F3
A wide surgical excision was performed in one piece, carrying the entire fistulized skin flap to the surface with its deep extensions and adhering lymphadenopathy to the magma of the inflammatory tissue (Figure 3).
histological section A) granulomatosis lymphadenitis (HE, Gx40); B) same section (HE, GEx100)
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F4
Absence of signs of malignancy (Figure 4).
surgery outcome: intradermal suture postoperative
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F5