PMC4323705_01
Erythematous nodules, discreetly hard, with a diameter of 1.5-2.0cm, distributed
along the anterior and posterior sides of the right forearm
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f01
Extensive adipocytic necrosis in the hypodermis with lipomembranous and
pseudocystic patterns, associated with recent hemorrhage and subtle inflammatory
infiltrate surrounding some vessels, localized in superficial and deep dermis,
sometimes in the hypodermis, composed of lymphocytes, histiocytes and
plasmacytes
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f02
She underwent a skin lesion biopsy and the anatomopathological exam demonstrated: extensive adipocytic necrosis in the hypodermis with lipomembranous and pseudo cystic patterns, associated with recent hemorrhage and subtle inflammatory infiltrate surrounding some vessels, localized in superficial and deep dermis, sometimes in the hypodermis, composed of lymphocytes, histiocytes and plasmacytes (Figures 2 and 3).
Extensive adipocytic necrosis in the hypodermis with lipomembranous and
pseudocystic patterns, associated with recent hemorrhage and subtle inflammatory
infiltrate surrounding some vessels, localized in superficial and deep dermis,
sometimes in the hypodermis, composed of lymphocytes, histiocytes and
plasmacytes
abd-90-01-0104-g03.jpg
PMC4323705_01_abd-90-01-0104-g03.jpg
f03
She underwent a skin lesion biopsy and the anatomopathological exam demonstrated: extensive adipocytic necrosis in the hypodermis with lipomembranous and pseudo cystic patterns, associated with recent hemorrhage and subtle inflammatory infiltrate surrounding some vessels, localized in superficial and deep dermis, sometimes in the hypodermis, composed of lymphocytes, histiocytes and plasmacytes (Figures 2 and 3).
Ziehl-Neelsen coloration demonstrating AFB in cutaneous biopsy material
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The bacilloscopy using Ziehl-Neelsen coloration was positive and the culture using Lowenstein-Jensen medium for mycobacteria was positive for Mycobacterium chelonae (Figures 4 and 5).
Lowenstein-Jensen medium base culture
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f05
The bacilloscopy using Ziehl-Neelsen coloration was positive and the culture using Lowenstein-Jensen medium for mycobacteria was positive for Mycobacterium chelonae (Figures 4 and 5).