case_images: PMC4323705_01
case_images: Erythematous nodules, discreetly hard, with a diameter of 1.5-2.0cm, distributed
  along the anterior and posterior sides of the right forearm
case_images: abd-90-01-0104-g01.jpg
case_images: PMC4323705_01_abd-90-01-0104-g01.jpg
case_images: f01
case_images: Extensive adipocytic necrosis in the hypodermis with lipomembranous and
  pseudocystic patterns, associated with recent hemorrhage and subtle inflammatory
  infiltrate surrounding some vessels, localized in superficial and deep dermis,
  sometimes in the hypodermis, composed of lymphocytes, histiocytes and
  plasmacytes
case_images: abd-90-01-0104-g02.jpg
case_images: PMC4323705_01_abd-90-01-0104-g02.jpg
case_images: f02
case_images: She underwent a skin lesion biopsy and the anatomopathological exam demonstrated: extensive adipocytic necrosis in the hypodermis with lipomembranous and pseudo cystic patterns, associated with recent hemorrhage and subtle inflammatory infiltrate surrounding some vessels, localized in superficial and deep dermis, sometimes in the hypodermis, composed of lymphocytes, histiocytes and plasmacytes (Figures 2 and 3).
case_images: Extensive adipocytic necrosis in the hypodermis with lipomembranous and
  pseudocystic patterns, associated with recent hemorrhage and subtle inflammatory
  infiltrate surrounding some vessels, localized in superficial and deep dermis,
  sometimes in the hypodermis, composed of lymphocytes, histiocytes and
  plasmacytes
case_images: abd-90-01-0104-g03.jpg
case_images: PMC4323705_01_abd-90-01-0104-g03.jpg
case_images: f03
case_images: She underwent a skin lesion biopsy and the anatomopathological exam demonstrated: extensive adipocytic necrosis in the hypodermis with lipomembranous and pseudo cystic patterns, associated with recent hemorrhage and subtle inflammatory infiltrate surrounding some vessels, localized in superficial and deep dermis, sometimes in the hypodermis, composed of lymphocytes, histiocytes and plasmacytes (Figures 2 and 3).
case_images: Ziehl-Neelsen coloration demonstrating AFB in cutaneous biopsy material
case_images: abd-90-01-0104-g04.jpg
case_images: PMC4323705_01_abd-90-01-0104-g04.jpg
case_images: f04
case_images: The bacilloscopy using Ziehl-Neelsen coloration was positive and the culture using Lowenstein-Jensen medium for mycobacteria was positive for Mycobacterium chelonae (Figures 4 and 5).
case_images: Lowenstein-Jensen medium base culture
case_images: abd-90-01-0104-g05.jpg
case_images: PMC4323705_01_abd-90-01-0104-g05.jpg
case_images: f05
case_images: The bacilloscopy using Ziehl-Neelsen coloration was positive and the culture using Lowenstein-Jensen medium for mycobacteria was positive for Mycobacterium chelonae (Figures 4 and 5).