case_images: PMC9283024_01
case_images: Multiple, discrete, firm, smooth, skin-colored, and hyperpigmented papules as well as plaque on the upper chest, abdomen, and both knees (left). Haematoxylin and eosin stain histopathology of a skin biopsy (middle) using low power field revealed perivascular and peri-adnexal lymphohistiocytic infiltration in the deep dermis, while (right) high power field revealed periductal mixed inflammatory cell infiltration, representing a dermal inflammatory reaction.
case_images: CRIID2022-8918020.001.jpg
case_images: PMC9283024_01_CRIID2022-8918020.001.jpg
case_images: fig1
case_images: Histopathology exhibited perivascular and peri-adnexal lymphohistiocytic infiltration in the deep dermis, representing a dermal inflammatory reaction (Figure 1).
case_images: Plain X-ray exhibiting many 1 cm pin-like metallic opacities at the posterior chest wall, paraspinal area of the lumbosacral spines, and skull.
case_images: CRIID2022-8918020.002.jpg
case_images: PMC9283024_01_CRIID2022-8918020.002.jpg
case_images: fig2
case_images: PCR and line probe assay to identify the species of Mycobacterium, even though mycobacterial blood cultures cultivated no organisms. Plain X-ray showed many 1 cm pin-like metallic opacities along the posterior region of the chest wall, paraspinal area of the lumbar spine, and skull (Figure 2).