PMC6497491_01
Clinical manifestations and histopathological characteristics.. Notes: Dark-red macule and atrophic scars over the face (A), a soya-bean sized dark fuchsia nodule presents on the right leg (B), dark-red macule and large areas of stellate scars over the left thigh (C). The lesion on the edge of ulceration of the lower back displays necrosis of epidermis and dermis, thickening of vascular walls, with local foam cells, swelling of endothelial cells, intraluminal thrombus (D: H&E, x40), positive for bacillus (E: acid-fast stain, x400).
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On physical examination, the patient presented dark-red soybean- to peanut-sized macula, nodules over the face and lower extremities, together with large areas of atrophic scars. she had alopecia of the lateral eyebrows, no disability degree (Figure 1A-C). The acid-fast staining revealed numerous uniformly stained acid fast bacilli (AFB) (Figure 1D-E).