case_images: PMC8744419_01
case_images: Infiltrative and edematous external genital with discharging erosions and deep fissures on labia major and groin
case_images: ABR-10-39-g001.jpg
case_images: PMC8744419_01_ABR-10-39-g001.jpg
case_images: F1
case_images: In our first assessment of this patient, the external genital was edematous and infiltrative; and discharging erosions and deep fissures were seen on labia major, groin, perineal and intergluteal regions [Figure 1].
case_images: Section showing the ortho-and parakeratosis, acanthosis, spongiosis, and exocytosis of lymphomononuclear cells in the epidermis, increased fibroblasts, congested vasculatures and infiltration of lymphohystiocyte and plasmocyte in the dermis (a, H and E, x40) and noncaseating granulomas in the superficial dermis (b, H and E, x100)
case_images: ABR-10-39-g002.jpg
case_images: PMC8744419_01_ABR-10-39-g002.jpg
case_images: F2
case_images: Noncaseating granulomas in the superficial dermis were noted without Leishman bodies or fungal elements [Figure 2].
case_images: Improvement of the lesions after 3 months of treatment with prednisolone
case_images: ABR-10-39-g003.jpg
case_images: PMC8744419_01_ABR-10-39-g003.jpg
case_images: F3
case_images: Her cutaneous lesions resolved almost completely following this course of treatment [Figure 3] and is currently asymptomatic.