case_images: PMC5726693_01
case_images: Erythematous, erosive, crusty and painful plaques on the occipital and
  post-auricular regions
case_images: abd-92-05-s1-0104-g01.jpg
case_images: PMC5726693_01_abd-92-05-s1-0104-g01.jpg
case_images: f1
case_images: A 36-year-old female patient presented to the clinic with erythematous, erosive and painful plaques on the perioral, perinasal, post-auricular and occipital regions (Figure 1).
case_images: iII-defined scaly plaques on the left axilla
case_images: abd-92-05-s1-0104-g02.jpg
case_images: PMC5726693_01_abd-92-05-s1-0104-g02.jpg
case_images: f2
case_images: She also had ill-defined, erythematous, scaly plaques on the trunk, axillae, buttocks, and inguinal region (Figure 2).
case_images: Edema of the vulva and mons pubis, followed by ill-defined erythema and
  scaling
case_images: abd-92-05-s1-0104-g03.jpg
case_images: PMC5726693_01_abd-92-05-s1-0104-g03.jpg
case_images: f3
case_images: In addition, there was obvious edema of the vulva and mons pubis (Figure 3).
case_images: A. The histology of the post-auricular lesion reveals
  granulomatous infiltration occupying the whole dermis. There is mild
  focal parakeratosis, acanthosis and spongiosis of the overlying
  epidermis (Hematoxylin & eosin, X40). B. iII-defined
  granuloma with histiocytes, some multinucleated giant cells, lymphocytes
  and plasma cells (Hematoxylin & eosin, X200)
case_images: abd-92-05-s1-0104-g04.jpg
case_images: PMC5726693_01_abd-92-05-s1-0104-g04.jpg
case_images: f4
case_images: Surprisingly, both lesions revealed a granulomatous infiltrate of lymphocytes, epithelioid histiocytes, plasma cells, some eosinophils and multinucleated giant cells occupying the dermis (Figure 4).