case_images: PMC10586894_01
case_images: Clinical image demonstrating erythematous papule on the right posterior shoulder and larger erythematous plaque with white-yellow scale and crust.
case_images: CRIDM2023-3428162.001.jpg
case_images: PMC10586894_01_CRIDM2023-3428162.001.jpg
case_images: fig1
case_images: On examination, she had several scattered small erythematous papules and nodules on the extensor surfaces of her extremities, including some with yellow-white scale and crust, as shown in Figure 1.
case_images: Granulomatous dermal inflammation with central basophilic necrosis and neutrophils (arrowhead) and a peripheral zone of palisading histiocytes (arrow). Hematoxylin-eosin; original magnification at x100 (a) and x400 (b).
case_images: CRIDM2023-3428162.002.jpg
case_images: PMC10586894_01_CRIDM2023-3428162.002.jpg
case_images: fig2
case_images: The leading histopathologic considerations included palisaded neutrophilic and granulomatous dermatitis or infection, as shown in Figure 2.