PMC4066596_01
Clinical photograph showing erythematous papulonodular lesions on extensor aspect of forearms and arms
IJSTD-35-40-g001.jpg
PMC4066596_01_IJSTD-35-40-g001.jpg
F1
Patient had tender erythematous nodules on his face, upper limbs, upper trunk, and ears [Figures 1 and 2].
Erythematous plaques with ill-defined irregular borders on back of arms and shoulders
IJSTD-35-40-g002.jpg
PMC4066596_01_IJSTD-35-40-g002.jpg
F2
Patient had tender erythematous nodules on his face, upper limbs, upper trunk, and ears [Figures 1 and 2].
Skin-slit smear examination showing 6+ acid-fast bacilli
IJSTD-35-40-g003.jpg
PMC4066596_01_IJSTD-35-40-g003.jpg
F3
Skin-slit smear was 6+ for acid-fast bacilli (AFB) [Figure 3].
Histopathology showing superficial and deep periadnexal granulomatous inflammation with neutrophils around vessels. Few foci with fragmented acid fast bacilli (x100 magnification)
IJSTD-35-40-g004.jpg
PMC4066596_01_IJSTD-35-40-g004.jpg
F4
Biopsy from a nodule showed superficial and deep periadnexal granulomatous inflammation with neutrophils and nuclear debris around vessels [Figure 4].