PMC9647289_01
Erythematous and excoriated papules with post-inflammatory hyperpigmentation
and scarring diffusely spread on bilateral legs and feet.
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Post-inflammatory hyperpigmentation was prominent on bilateral legs and feet, with some scarring present (Figure 1).
Prurigo papule. Superficial epidermal erosion with serum crusting, epithelial
hyperplasia and reactive dermal inflammation and fibrosis (H&E, original
magnification 40x)
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Punch biopsies obtained from the right dorsal forearm and right buttock showed erosion, prurigo nodule-like changes, and healing skin response (Figure 2).
(a) Posteroanterior chest x-ray image exhibiting right paramediastinal and
perihilar opacities concerning for lymphadenopathy and/or neoplasm.(b)
Lateral chest x-ray image exhibiting right paramediastinal and perihilar
opacities concerning for lymphadenopathy and/or neoplasm.
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A 2-view chest x-ray (Figure 3(a) and (b)) was concerning for lymphadenopathy or neoplasm due to presence of right paramediastinal and hilar opacities.
(a) Coronal view of chest CT with contrast showing large anterior mediastinal
mass with anteroposterior, transverse, and vertical dimensions of
7.8 cm x 1.5 cm x 12.7 cm with additional mediastinal and perihilar
lymphadenopathy. (b) Sagittal view of chest CT with contrast showing large
anterior mediastinal mass with anteroposterior, transverse, and vertical
dimensions of 7.8 cm x 1.5 cm x 12.7 cm with additional mediastinal and
perihilar lymphadenopathy.
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A chest computed tomography (CT) scan with contrast revealed a large right anterior mediastinal mass (7.8 cm x 1.5 cm x 12.7 cm) with intrathoracic lymph node involvement (Figure 4(a) and (b)).