case_images: PMC10600508_01
case_images: A ring-shaped squamous plaque on the face.
case_images: f1000research-12-157826-g0000.jpg
case_images: PMC10600508_01_f1000research-12-157826-g0000.jpg
case_images: f1
case_images: On physical examination, the patient had a ring-shaped squamous plaque on the face ( Figure 1) and unilateral submandibular lymphadenopathy.
case_images: Ethmoid and maxillary sinusitis and low facial bone density.
case_images: f1000research-12-157826-g0001.jpg
case_images: PMC10600508_01_f1000research-12-157826-g0001.jpg
case_images: f2
case_images: The craniofacial and the thoracoabdominal computed tomography (CT) scans showed ethmoid and maxillary sinusitis, low facial bone density ( Figure 2), multiple mediastinal and hilar lymphadenopathy, diffuse small pulmonary nodules, peripheral, linear reticulations with subpleural cystic lesions, compatible with fibrosis, and hepatomegaly.
case_images: A large ulcer with necrosis and pus in the right leg.
case_images: f1000research-12-157826-g0002.jpg
case_images: PMC10600508_01_f1000research-12-157826-g0002.jpg
case_images: f3
case_images: On examination, he had tachypnea with a respiratory rate of 34 breaths/min, a large ulcer with necrosis and pus in the right leg ( Figure 3), and severe peripheral pitting oedema.