case_images: PMC8497118_01
case_images: Firm, erythematous, and umbilicated papules with central erosion and crust. The lesions were observed on the face, scalp, and jaw.
case_images: CRIGM2021-9940391.001.jpg
case_images: PMC8497118_01_CRIGM2021-9940391.001.jpg
case_images: fig1
case_images: At this time, the patient was noted to have erythematous, scaled papules, and nodules on his face, head, trunk, and buttocks that drained transparent, yellow discharge (Figure 1).
case_images: Histologic sections show subcorneal pustules and dense neutrophilic dermal infiltrate ((a)-4X and (b)-10X). Special stains including gram, AFB, and FITE were negative for definitive microorganisms.
case_images: CRIGM2021-9940391.002.jpg
case_images: PMC8497118_01_CRIGM2021-9940391.002.jpg
case_images: fig2
case_images: The gingival biopsies were nonspecific; however, skin biopsy was significant for neutrophilic infiltrate in the dermis with formation of microabscesses within the epidermis and superficial dermis (Figure 2).