case_images: PMC3884940_01
case_images: Impetiginous crusted lesions on the upper limb
case_images: IJD-59-94-g001.jpg
case_images: PMC3884940_01_IJD-59-94-g001.jpg
case_images: F1
case_images: A 36-year-old male presented with progressive nodular, ulcerative and impetiginous lesions over trunk, upper extremities and thighs for 3 months [Figure 1].
case_images: Histopathology showing dermis with grenz zone and foam cells (H and E, x10)
case_images: IJD-59-94-g002.jpg
case_images: PMC3884940_01_IJD-59-94-g002.jpg
case_images: F2
case_images: Histopathological examination revealed a narrow grenz zone separating flattened epidermis above and dense inflammatory cells in dermis comprising of sheets of foam cells admixed with polymorphs, lymphocytes, and histiocytes [Figure 2].
case_images: Histopathology of lesional biopsy demonstrating foam cells and both intact and fragmented bacilli (Fite Faraco stain)
case_images: IJD-59-94-g003.jpg
case_images: PMC3884940_01_IJD-59-94-g003.jpg
case_images: F3
case_images: Fite stain showed numerous solid and fragmented acid fast bacilli discretely as well as in clusters [Figure 3].