PMC3995400_01
Clinical findings at the first visit. A painful ulcer with round, shallow pockets and some indurations with redness on the lateral side of the right thigh is shown.
cde-0006-0098-g01.jpg
PMC3995400_01_cde-0006-0098-g01.jpg
F1
There was a painful ulcer that had round, shallow pockets with erythema and erythematous subcutaneous indurations on the right thigh (fig. 1).
Histopathological findings of the biopsy specimen from the outline of the skin ulcer. Granuloma with multinucleated giant cells, degenerative necrosis, and globe-like organisms in the lower dermis and subcutaneous tissues is shown. a Hematoxylin-eosin stain, x40 and x200. b PAS stain of the subcutaneous tissue, x400.
cde-0006-0098-g02.jpg
PMC3995400_01_cde-0006-0098-g02.jpg
F2
A biopsy specimen showed granulomatous inflammation, degenerative necrosis, and globe-shaped organisms in the dermis and subcutaneous tissues (fig. 2).