PMC4212665_01
Discrete erythematous tense vesicles over face.
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F1
A 20 years-old girl presented with multiple discrete asymptomatic reddish vesicles over cheeks, nose, and forehead for four years (Figure 1). On examination, multiple discrete tense vesicles on an erythematous base were present over central part of face-nose, cheeks and lower part of the forehead (Figure 1).
(A) Patchy mononuclear cell infiltration in upper dermis with dilatation of capillaries and lymphatics (Haematoxylin and Eosin stain x100); B) patchy mononuclear cell infiltration with dilatation of capillaries and lymphatics (Haematoxylin and Eosin stain x400); C) mononuclear cell infiltration around sweat duct (Haematoxylin and Eosin stain x400).
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F2
Histopathology from the vesicle revealed mononuclear cell infiltration in the upper dermis along with dilatation of superficial capillaries and lymphatics (Figure 2A,B). Similar infiltration around sweat ducts too was noticed (Figure 2C).
Successful treatment with topic.
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F3
On second follow up after another one month, patient was almost lesion free, with only few vesicles persisting (Figure 3).