PMC4318046_01
Diffuse infiltration of ear-lobe
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F1
There was diffuse infiltration of ear lobe [Figure 1].
Multiple erythematous papules and nodules (ENL lesions) over face (a) and forehead (b)
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F2
Multiple erythematous, tender papules, and nodules were present on the face [Figure 2] and also on trunk and extremities [Figure 3].
Multiple erythematous papules and nodules (ENL lesions) over lower limbs
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F3
Multiple erythematous, tender papules, and nodules were present on the face [Figure 2] and also on trunk and extremities [Figure 3]. Biopsy taken from the nodule on the left hand [Figure 3] demonstrated mild hyperkeratosis in epidermis, grenz zone.
Low power view x10. Mild hyperkeratosis in epidermis, grenz zone. Dermis shows edema with collection of macrophages
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F4
Dermis shows edema with collection of macrophages [Figure 4].
High power view x40.-Vessels show acute and chronic perivascular inflammatory infiltrate
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F5
Vessels showed acute and chronic perivascular inflammatory infiltrate [Figure 5] consistent with ENL.