case_images: PMC6800913_01
case_images: The right dorsal forearm was found to have two firm, tender erythematous papulonodules, one with central ulceration.
case_images: CRIDM2019-1840280.001.jpg
case_images: PMC6800913_01_CRIDM2019-1840280.001.jpg
case_images: fig1
case_images: On examination, the right dorsal forearm was now found to have two firm, tender erythematous papulonodules, one with central ulceration (Figure 1).
case_images: The right lateral thigh was found to have a purpuric patch with central ulceration and necrosis.
case_images: CRIDM2019-1840280.002.jpg
case_images: PMC6800913_01_CRIDM2019-1840280.002.jpg
case_images: fig2
case_images: The right lateral thigh was found to have a single purpuric patch with central ulceration and necrosis (Figure 2).
case_images: Kinyoun stain (40x). Acid fast bacilli (arrows) within the center of the suppurative granuloma.
case_images: CRIDM2019-1840280.003.jpg
case_images: PMC6800913_01_CRIDM2019-1840280.003.jpg
case_images: fig3
case_images: A 4 mm punch biopsy of a right dorsal forearm lesion revealed suppurative, granulomatous inflammation in the deep reticular dermis with demonstration of acid-fast organisms on AFB stain (Figure 3).