case_images: PMC11067914_01
case_images: Scales, erythema, and papules on the trunk and limbs that range in size from rice grains to soybeans.
case_images: JIR-17-2633-g0001.jpg
case_images: PMC11067914_01_JIR-17-2633-g0001.jpg
case_images: f0001
case_images: Dermatological evaluation: revealed erythematous lesions and papules on the trunk and limbs, accompanied by minor scales, varying in size from rice grains to soybeans (refer to Figure 1).
case_images: (a) (X low magnification) (b) (X high magnification). Pathology examination: Excessive keratinization, incomplete keratinization, and neutrophilic microabscesses within the stratum corneum; irregular hyperplasia of the epidermis, local spongiosis, thinning or absence of granular layer, neutrophilic pustules within the epidermis, dilated dermal papillary blood vessels, and infiltration of neutrophils and lymphocytes in the surrounding area.
case_images: JIR-17-2633-g0002.jpg
case_images: PMC11067914_01_JIR-17-2633-g0002.jpg
case_images: f0002
case_images: Histopathology of skin lesion: There was excessive keratinization, incomplete keratinization, and neutrophilic microabscesses within the stratum corneum; irregular hyperplasia of the epidermis, local spongiosis, thinning or absence of granular layer, neutrophilic pustules within the epidermis, dilated dermal papillary blood vessels, and infiltration of neutrophils and lymphocytes in the surrounding area (see Figure 2).