case_images: PMC9837630_01
case_images: (A) Jaundice and erythematous papules on the face. (B) Violaceous papules with slight desquamation and a linear lesion in the cervical region.
case_images: gr1.jpg
case_images: PMC9837630_01_gr1.jpg
case_images: fig0005
case_images: In the cervical region, the papules were violaceous, with slight desquamation (Figure 1, Figure 2).
case_images: Erythematous papules on the abdomen (A) and axillary area (B).
case_images: gr2.jpg
case_images: PMC9837630_01_gr2.jpg
case_images: fig0010
case_images: In the cervical region, the papules were violaceous, with slight desquamation (Figure 1, Figure 2).
case_images: Computed tomography of the abdomen; yellow circle: intrahepatic bile duct ectasia; red circle: pancreas of heterogeneous volume and density; orange circles: enlarged intra-abdominal lymph nodes; blue arrows: bilateral pleural effusion; green circles: hepatosplenomegaly.
case_images: gr3.jpg
case_images: PMC9837630_01_gr3.jpg
case_images: fig0015
case_images: (A) Hematoxylin & eosin staining: chronic granulomatous inflammation process, with a large number of neutrophils and multinucleated giant cells containing rounded structures in the cytoplasm. (B) Grocott staining: brown spherical structures with multiple budding giving them a "marine pilot's wheel" or "Mickey Mouse ears" appearance.
case_images: gr4.jpg
case_images: PMC9837630_01_gr4.jpg
case_images: fig0020
case_images: The Grocott staining showed spherical structures stained in brown, with multiple budding cells with a "marine pilot's wheel" and "Mickey Mouse ears" appearance (Fig. 4).