PMC3892643_01
Erythematous ulceronodular lesions on the face producing a leonine facies.
idr-2012-1-e15-g001.jpg
PMC3892643_01_idr-2012-1-e15-g001.jpg
F1
A 52-year-old homosexual male was admitted in our clinic with a three week history of an extensive, febrile, papulonodular rash affecting his face (leonine facies, Figure 1), trunk (Figure 2), extremities, including palms and soles (Figures 3 and 4).
Multiple, erythematous ulceronodular lesions affecting the trunk.
idr-2012-1-e15-g002.jpg
PMC3892643_01_idr-2012-1-e15-g002.jpg
F2
A 52-year-old homosexual male was admitted in our clinic with a three week history of an extensive, febrile, papulonodular rash affecting his face (leonine facies, Figure 1), trunk (Figure 2), extremities, including palms and soles (Figures 3 and 4).
Erythematous papules and nodules on the left palm.
idr-2012-1-e15-g003.jpg
PMC3892643_01_idr-2012-1-e15-g003.jpg
F3
A 52-year-old homosexual male was admitted in our clinic with a three week history of an extensive, febrile, papulonodular rash affecting his face (leonine facies, Figure 1), trunk (Figure 2), extremities, including palms and soles (Figures 3 and 4).
Multiple papules and nodules on the right sole.
idr-2012-1-e15-g004.jpg
PMC3892643_01_idr-2012-1-e15-g004.jpg
F4
A 52-year-old homosexual male was admitted in our clinic with a three week history of an extensive, febrile, papulonodular rash affecting his face (leonine facies, Figure 1), trunk (Figure 2), extremities, including palms and soles (Figures 3 and 4).
Histological examination revealed perivascular dermal infiltrate composed of many plasma cells (hematoxylin and eosin stain, magnification x400).
idr-2012-1-e15-g005.jpg
PMC3892643_01_idr-2012-1-e15-g005.jpg
F5
A 4mm punch biopsy was taken from the margin of an ulcerative lesion and histological examination showed dilatation of blood vessels with perivascular dermal infiltrate composed of many plasma cells (Figure 5).