PMC8744419_01
Infiltrative and edematous external genital with discharging erosions and deep fissures on labia major and groin
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F1
In our first assessment of this patient, the external genital was edematous and infiltrative; and discharging erosions and deep fissures were seen on labia major, groin, perineal and intergluteal regions [Figure 1].
Section showing the ortho-and parakeratosis, acanthosis, spongiosis, and exocytosis of lymphomononuclear cells in the epidermis, increased fibroblasts, congested vasculatures and infiltration of lymphohystiocyte and plasmocyte in the dermis (a, H and E, x40) and noncaseating granulomas in the superficial dermis (b, H and E, x100)
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F2
Noncaseating granulomas in the superficial dermis were noted without Leishman bodies or fungal elements [Figure 2].
Improvement of the lesions after 3 months of treatment with prednisolone
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F3
Her cutaneous lesions resolved almost completely following this course of treatment [Figure 3] and is currently asymptomatic.