case_images: PMC7411477_01
case_images: (a) Skin-colored atrophic plaques which became flat on stretching. (b) the skin becoming lax after release, returning to the initial wrinkly texture.
case_images: CRIDM2020-8847310.001.jpg
case_images: PMC7411477_01_CRIDM2020-8847310.001.jpg
case_images: fig1
case_images: On stretching, atrophic plaques became flat (Figure 1(a)), and on leaving the skin lax, the plaques returned to initial texture (Figure 1(b)).Similar plaques were also present over the left lower thigh (Figure 2).
case_images: Atrophic wrinkled plaques over the left lower thigh.
case_images: CRIDM2020-8847310.002.jpg
case_images: PMC7411477_01_CRIDM2020-8847310.002.jpg
case_images: fig2
case_images: On stretching, atrophic plaques became flat (Figure 1(a)), and on leaving the skin lax, the plaques returned to initial texture (Figure 1(b)).Similar plaques were also present over the left lower thigh (Figure 2).
case_images: (a) Histopathological examination showing dermal granuloma with epithelioid cell aggregates and few giant cells (H&E stain 40x magnification). (b) Histopathological examination in higher magnification showing epitheloid cell granulomas with few multinucleated giant cells (H&E stain 100x magnification).
case_images: CRIDM2020-8847310.003.jpg
case_images: PMC7411477_01_CRIDM2020-8847310.003.jpg
case_images: fig3
case_images: Excisional biopsy and histopathological examination of atrophic plaques from the right arm revealed multiple well-formed granulomas consisting of epithelioid cells with peripheral rimming of lymphocytes in the upper dermis and perineural and periadnexal lymphocytic infiltrates along with few multinucleated giant cells (Figures 3(a) and 3(b)).