PMC5175025_01
Atrophic plaque lesions with patchy areas of erosions and/or ulcerations localized on scalp, face, anterior, and posterior aspects of the trunk, extremities, and gluteal region.
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F1
In addition to eroded areas on similarly appearing plaque lesions localized on the gluteal region, an ulcerated lesion 4 cm in diameter, and 1-1.5 cm in depth striked our attention (Figure 1).
Giant cells, and lymphocytic, and histiocytic infiltration, and markedly conspicuous granulomas on the periphery of the infiltrate localized within the mid-dermis (H&E x 40).
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F2
Histopathological examination of the biopsy material revealed a large ulcerated area covered superficially with crusts, lymphocytic, and histiocytic infiltration, and giant cells within superficial, and middle layer of dermis, and granulomas more conspicuously on the periphery of the infiltrate (Figure 2).
At the end of the sixth month regression of all lesions was observed.
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F3
At the end the sixth month all lesions healed with postinflammatory hyperpigmentation, hypopigmentation and/or atrophic scar (Figure 3).