case_images: PMC6362750_01
case_images: Involvement of face including forehead, nose, bilateral malar region, and ears in the form of multiple discrete, hyperpigmented plaques
case_images: IDOJ-10-58-g001.jpg
case_images: PMC6362750_01_IDOJ-10-58-g001.jpg
case_images: F1
case_images: Dermatological examination revealed involvement of face including forehead, nose, bilateral malar region, and ears in the form of multiple discrete hyperpigmented plaques [Figure 1].
case_images: Multiple coalescing scaly plaques present over back
case_images: IDOJ-10-58-g002.jpg
case_images: PMC6362750_01_IDOJ-10-58-g002.jpg
case_images: F2
case_images: Post inflammatory hyperpigmented macules were seen in the areas adjoining the plaques [Figure 2].
case_images: (H and E, x100). Skin biopsy showed mild focal basal layer degeneration, focal dyskeratotic keratinocytes, and perivascular inflammatory infiltrate in superficial dermis
case_images: IDOJ-10-58-g003.jpg
case_images: PMC6362750_01_IDOJ-10-58-g003.jpg
case_images: F3
case_images: Skin biopsy showed mild focal basal layer degeneration, focal dyskeratotic keratinocytes, and perivascular inflammatory infiltrate in superficial dermis [Figure 3].
case_images: Radiograph of both hands and wrists showed periarticular osteopenia and early erosions of the base of proximal phalanges of bilateral 2nd digits
case_images: IDOJ-10-58-g004.jpg
case_images: PMC6362750_01_IDOJ-10-58-g004.jpg
case_images: F4
case_images: Radiograph of both hands and wrists showed periarticular osteopenia and early erosions of the base of proximal phalanges of bilateral 2nd digits, features suggesting inflammatory polyarthritis of both hands [Figure 4].