case_images: PMC7821813_01
case_images: PMC7821813_02
case_images: clinical appearance at the first visit. Left knee region shows reddish plaque with verrucous surface, elevated edge and erythematous case with accompanied by crusting. Left dorsum pedis showed reddish plaque and patch with crusting
case_images: PAMJ-37-216-g001.jpg
case_images: PMC7821813_02_PAMJ-37-216-g001.jpg
case_images: F1
case_images: Left dorsum pedis showed erythematous macules and plaques accompanied by crusting (Figure 1).
case_images: chest radiograph and Mantoux test: (A) normal result of chest radiograph; (B) negative result of Mantoux test
case_images: PAMJ-37-216-g002.jpg
case_images: PMC7821813_02_PAMJ-37-216-g002.jpg
case_images: F2
case_images: Chest radiograph did not show any abnormalities (Figure 2A). Mantoux test showed negative result (induration of 9 mm) (Figure 2B).
case_images: histopathological result showed (A) signs of inflammation in dermis (4x magnification) and (B) lymphocyte and neutrophil (40x magnification)
case_images: PAMJ-37-216-g003.jpg
case_images: PMC7821813_02_PAMJ-37-216-g003.jpg
case_images: F3
case_images: The final conclusion of the histopathological examination was suppurative chronic inflammation which can be found in deep mycosis and cutaneous TB (Figure 3A, B).
case_images: significant lesion improvement was evident after six months
case_images: PAMJ-37-216-g004.jpg
case_images: PMC7821813_02_PAMJ-37-216-g004.jpg
case_images: F4
case_images: At the end of the six-month treatment, a significant improvement was evident (Figure 4).