case_images: PMC3746225_01
case_images: (a and b) 2 cm sized erythematous semi-transparent bullae with a white nodule inside
case_images: IJT-5-32-g001.jpg
case_images: PMC3746225_01_IJT-5-32-g001.jpg
case_images: F1
case_images: On examination, single 2 cm sized erythematous semi-transparent bullae with a white nodule was seen on the medial aspect of the right upper arm [Figure 1a and b].
case_images: Photograph of a bouncy ball
case_images: IJT-5-32-g002.jpg
case_images: PMC3746225_01_IJT-5-32-g002.jpg
case_images: F2
case_images: The appearance of this resembled a bouncy ball [Figure 2].
case_images: Gross specimen of excised material
case_images: IJT-5-32-g003.jpg
case_images: PMC3746225_01_IJT-5-32-g003.jpg
case_images: F3
case_images: Routine investigations were normal and excision biopsy was carried out [Figure 3].
case_images: Histopathological features of excision biopsy showing islands of basaloid cells with central abrupt keratinization, shadow (ghost) cells, and dilated lymphatics with dermal edema (H and E, x10)
case_images: IJT-5-32-g004.jpg
case_images: PMC3746225_01_IJT-5-32-g004.jpg
case_images: F4
case_images: Histopathology revealed islands of basaloid cells with central abrupt keratinization and dilated lymphatics with dermal edema [Figures 4 and 5a].
case_images: (a) Basaloid cells undergoing abrupt keratinization; (b) Ghost cells/shadow cells; (c) Foreign body giant cell reaction; (d) Small foci of calcification (H and E, x40)
case_images: IJT-5-32-g005.jpg
case_images: PMC3746225_01_IJT-5-32-g005.jpg
case_images: F5
case_images: Histopathology revealed islands of basaloid cells with central abrupt keratinization and dilated lymphatics with dermal edema [Figures 4 and 5a]. Ghost cells (shadow cells) [Figure 5b], foreign body giant cell reaction [Figure 5c], and small foci of calcification were also seen [Figure 5d].