PMC3937491_01
Erythematous plaques over the face at presentation
IDOJ-5-59-g001.jpg
PMC3937491_01_IDOJ-5-59-g001.jpg
F1
Examination revealed multiple well-defined, irregular erythematous mildly scaly plaques over the forehead, cheeks, ears, V area of neck [Figure 1].
Erythema over finger tips at presentation
IDOJ-5-59-g002.jpg
PMC3937491_01_IDOJ-5-59-g002.jpg
F2
There was erythema, warmth, and mild tenderness over the bilateral finger tips [Figure 2].
Histopathological specimen - H and E,x10 stain showing attenuated epidermis with a grenz zone and dermis containing ill-defined collections of lymphocytes, macrophages and epitheloid cells in a perineural, periadnexal and perivascular location
IDOJ-5-59-g003.jpg
PMC3937491_01_IDOJ-5-59-g003.jpg
F3
H and E examination of skin biopsy specimen showed thinning and follicular plugging of epidermis, a grenz zone with ill-defined collections of lymphocytes, macrophages, and epitheloid cells in a perineural, periadnexal, and perivascular location [Figures 3-5].
Histopathological specimen - H and E, x40 showing periappendageal concentration of inflammatory cells consisting of lymphocytes, epithelioid cells and macrophages
IDOJ-5-59-g004.jpg
PMC3937491_01_IDOJ-5-59-g004.jpg
F4
H and E examination of skin biopsy specimen showed thinning and follicular plugging of epidermis, a grenz zone with ill-defined collections of lymphocytes, macrophages, and epitheloid cells in a perineural, periadnexal, and perivascular location [Figures 3-5].
Fite stain showing acid-fast bacilli (marked with arrow)
IDOJ-5-59-g005.jpg
PMC3937491_01_IDOJ-5-59-g005.jpg
F5
H and E examination of skin biopsy specimen showed thinning and follicular plugging of epidermis, a grenz zone with ill-defined collections of lymphocytes, macrophages, and epitheloid cells in a perineural, periadnexal, and perivascular location [Figures 3-5].
Two months post-treatment with antileprosy therapy showing resolution of facial plaques
IDOJ-5-59-g006.jpg
PMC3937491_01_IDOJ-5-59-g006.jpg
F6
The facial lesions and finger tip erythema resolved in 2-month time [Figure 6] and patient is on regular follow-up.