case_images: PMC4427144_01
case_images: Clinical presentation of the eyelid eruptions. Well-demarcated, dark-red, partially violet erythemas with small lamellar scales are visible on the patient's bilateral inner and upper eyelid from the frontal view. Mild eyelid edemas are also visible.
case_images: cde-0007-0056-g01.jpg
case_images: PMC4427144_01_cde-0007-0056-g01.jpg
case_images: F1
case_images: The main signs of disease were well-demarcated, mildly elevated, dark-red erythemas with pityriasis scales, and keratotic papules as well as pustules were also seen (fig. 1).
case_images: Clinical presentation. A dark-red erythematous plaque (approximately 1 cm) is accompanied by pityriatic scales, dark-red partially violet erythemas and coalesced atrophy, which form a large annular eruption on the right side of the patient's face. Pigmentation is visible at the center of the annular erythema, although the scales and erythemas have subsided.
case_images: cde-0007-0056-g02.jpg
case_images: PMC4427144_01_cde-0007-0056-g02.jpg
case_images: F2
case_images: These eruptions had coalesced into one large annular, mildly elevated eruption, and pigmentation was vis-ible at the center of the annular eruption, although no scales and erythemas were noticeable (fig. 2).
case_images: Histopathological findings. Parakeratosis and hyperkeratosis of the horny skin layer as well as hydropic degenerations and vacuolar changes to the basal layer are visible. In the dermis, typical dense lymphoid cells are visible around the follicles or eccrine glands. Hematoxylin and eosin staining, x40.
case_images: cde-0007-0056-g03.jpg
case_images: PMC4427144_01_cde-0007-0056-g03.jpg
case_images: F3
case_images: However, in the dermis, typical dense lymphoid cells were observed around the follicles and eccrine glands (fig. 3).