case_images: PMC4318046_01
case_images: Diffuse infiltration of ear-lobe
case_images: IJD-60-106f-g001.jpg
case_images: PMC4318046_01_IJD-60-106f-g001.jpg
case_images: F1
case_images: There was diffuse infiltration of ear lobe [Figure 1].
case_images: Multiple erythematous papules and nodules (ENL lesions) over face (a) and forehead (b)
case_images: IJD-60-106f-g002.jpg
case_images: PMC4318046_01_IJD-60-106f-g002.jpg
case_images: F2
case_images: Multiple erythematous, tender papules, and nodules were present on the face [Figure 2] and also on trunk and extremities [Figure 3].
case_images: Multiple erythematous papules and nodules (ENL lesions) over lower limbs
case_images: IJD-60-106f-g003.jpg
case_images: PMC4318046_01_IJD-60-106f-g003.jpg
case_images: F3
case_images: Multiple erythematous, tender papules, and nodules were present on the face [Figure 2] and also on trunk and extremities [Figure 3]. Biopsy taken from the nodule on the left hand [Figure 3] demonstrated mild hyperkeratosis in epidermis, grenz zone.
case_images: Low power view x10. Mild hyperkeratosis in epidermis, grenz zone. Dermis shows edema with collection of macrophages
case_images: IJD-60-106f-g004.jpg
case_images: PMC4318046_01_IJD-60-106f-g004.jpg
case_images: F4
case_images: Dermis shows edema with collection of macrophages [Figure 4].
case_images: High power view x40.-Vessels show acute and chronic perivascular inflammatory infiltrate
case_images: IJD-60-106f-g005.jpg
case_images: PMC4318046_01_IJD-60-106f-g005.jpg
case_images: F5
case_images: Vessels showed acute and chronic perivascular inflammatory infiltrate [Figure 5] consistent with ENL.