case_images: PMC3481907_01
case_images: Clinical photograph showing a large plaque over right upper limb and right side of the chest before treatment
case_images: IDOJ-3-34-g001.jpg
case_images: PMC3481907_01_IDOJ-3-34-g001.jpg
case_images: F1
case_images: He developed similar lesions, one over the right thigh after about 2 years of the first lesion that gradually enlarged to involve most of the thigh circumferentially and one more lesion over the left side of the back since one year [Figure 1].
case_images: Skin biopsy showing hyperplastic epidermis, upper and mid dermis showing noncaseating epitheloid granulomas with Langhan's type of giant cells
case_images: IDOJ-3-34-g002.jpg
case_images: PMC3481907_01_IDOJ-3-34-g002.jpg
case_images: F2
case_images: HIV was nonreactive. Histopathologic examination of the biopsy specimen revealed hyperplastic epidermis, upper and mid-dermis showing numerous noncaseating epitheloid granulomas with Langhan's type of giant cells [Figure 2].
case_images: Clinical photograph after 12 weeks of ATT showing healing with scarring and atrophy
case_images: IDOJ-3-34-g003.jpg
case_images: PMC3481907_01_IDOJ-3-34-g003.jpg
case_images: F3
case_images: After 12 weeks, there was almost total healing of the lesions [Figure 3].