PMC4211493_01
(A) Numerous ulcers on the right lower leg with a fibropurulent base and violaceous, partially necrotic border. (B) Skin biopsy specimens reveal oedema and massive neutrophilic inflammation with necrosis, haemorrhage and engorgement of vessels (HEx40). (C)The extremely dense infiltrate of polymorphonuclearleucocytes leads to abscess formation and liquefaction necrosis of the tissue (HEx100).
dr-2011-1-e8-g001.jpg
PMC4211493_01_dr-2011-1-e8-g001.jpg
F1
A skin biopsy showed histological images consistent with PG (Figure 1B,C).
(A) Chest (CT) scan: large right supraclavicular lymph node with peripheral enhancement (red arrow) and central low-density. (B) Haematoxylin and eosin stained sections of lymph nodes revealed distinct and well-formed epithelioid cell granulomasGiant cells with central caseation necrosis (HEx100).
dr-2011-1-e8-g002.jpg
PMC4211493_01_dr-2011-1-e8-g002.jpg
F2
Chest and abdominal computerized tomographic (CT) scan revealed multiple supraclavicular, mediastinal and abdominal lymph nodes with central necrosis (Figure 2A). A supraclacicular lymph node biopsy showed lymph nodes tuberculosis (Figure 2B).