case_images: PMC3937491_01
case_images: Erythematous plaques over the face at presentation
case_images: IDOJ-5-59-g001.jpg
case_images: PMC3937491_01_IDOJ-5-59-g001.jpg
case_images: F1
case_images: Examination revealed multiple well-defined, irregular erythematous mildly scaly plaques over the forehead, cheeks, ears, V area of neck [Figure 1].
case_images: Erythema over finger tips at presentation
case_images: IDOJ-5-59-g002.jpg
case_images: PMC3937491_01_IDOJ-5-59-g002.jpg
case_images: F2
case_images: There was erythema, warmth, and mild tenderness over the bilateral finger tips [Figure 2].
case_images: Histopathological specimen - H and E,x10 stain showing attenuated epidermis with a grenz zone and dermis containing ill-defined collections of lymphocytes, macrophages and epitheloid cells in a perineural, periadnexal and perivascular location
case_images: IDOJ-5-59-g003.jpg
case_images: PMC3937491_01_IDOJ-5-59-g003.jpg
case_images: F3
case_images: H and E examination of skin biopsy specimen showed thinning and follicular plugging of epidermis, a grenz zone with ill-defined collections of lymphocytes, macrophages, and epitheloid cells in a perineural, periadnexal, and perivascular location [Figures 3-5].
case_images: Histopathological specimen - H and E, x40 showing periappendageal concentration of inflammatory cells consisting of lymphocytes, epithelioid cells and macrophages
case_images: IDOJ-5-59-g004.jpg
case_images: PMC3937491_01_IDOJ-5-59-g004.jpg
case_images: F4
case_images: H and E examination of skin biopsy specimen showed thinning and follicular plugging of epidermis, a grenz zone with ill-defined collections of lymphocytes, macrophages, and epitheloid cells in a perineural, periadnexal, and perivascular location [Figures 3-5].
case_images: Fite stain showing acid-fast bacilli (marked with arrow)
case_images: IDOJ-5-59-g005.jpg
case_images: PMC3937491_01_IDOJ-5-59-g005.jpg
case_images: F5
case_images: H and E examination of skin biopsy specimen showed thinning and follicular plugging of epidermis, a grenz zone with ill-defined collections of lymphocytes, macrophages, and epitheloid cells in a perineural, periadnexal, and perivascular location [Figures 3-5].
case_images: Two months post-treatment with antileprosy therapy showing resolution of facial plaques
case_images: IDOJ-5-59-g006.jpg
case_images: PMC3937491_01_IDOJ-5-59-g006.jpg
case_images: F6
case_images: The facial lesions and finger tip erythema resolved in 2-month time [Figure 6] and patient is on regular follow-up.