case_images: PMC6276500_01
case_images: Scattered violaceus nodules, and plaques, some with serous exudate located on the dorsum of the hands.
case_images: CRIDM2018-5235246.001.jpg
case_images: PMC6276500_01_CRIDM2018-5235246.001.jpg
case_images: fig1
case_images: Approximately one month after methotrexate was discontinued, the patient developed violaceus and erythematous juicy nodules on the cheeks, trunk, and all four extremities (Figure 1).
case_images: Ulcerated tumors bilaterally on hands.
case_images: CRIDM2018-5235246.002.jpg
case_images: PMC6276500_01_CRIDM2018-5235246.002.jpg
case_images: fig2
case_images: Over the following months, the development of tumors quickly progressed, and many became ulcerated (Figure 2).
case_images: White nodules of the dorsal tongue.
case_images: CRIDM2018-5235246.003.jpg
case_images: PMC6276500_01_CRIDM2018-5235246.003.jpg
case_images: fig3
case_images: At this point tumors developed on the dorsal surface of the tongue (Figure 3).
case_images: H&E stain of biopsy specimen taken at tumor of right thigh at 10x magnification. A dense dermal atypical lymphoid infiltrate with epidermotropism of atypical lymphocytes into the epidermis.
case_images: CRIDM2018-5235246.004.jpg
case_images: PMC6276500_01_CRIDM2018-5235246.004.jpg
case_images: fig4
case_images: At this time, biopsies of the right thigh showed epidermotropism (Figure 4).