case_images: PMC7803178_01
case_images: Multiple yellow-brown papules in the trunk.
case_images: CRIDM2020-8826715.001.jpg
case_images: PMC7803178_01_CRIDM2020-8826715.001.jpg
case_images: fig1
case_images: A dermatological examination revealed multiple papules between 3 and 5 millimeters in size, yellow-brown in color, distributed mainly in the trunk (Figure 1).
case_images: Mixed proliferation with elongated cells and multinucleated histiocytic-like cells of large eosinophilic cytoplasms with mild lymphocyte response (H-E x20).
case_images: CRIDM2020-8826715.002.jpg
case_images: PMC7803178_01_CRIDM2020-8826715.002.jpg
case_images: fig2
case_images: No significant atypia, mitosis, or necrosis was observed (Figure 2).
case_images: Positivity for histiocytic markers CD 68 (x10).
case_images: CRIDM2020-8826715.003.jpg
case_images: PMC7803178_01_CRIDM2020-8826715.003.jpg
case_images: fig3
case_images: The immunohistochemical study showed positivity for histiocytic markers CD 68 (Figure 3), vimentin (Figure 4), and alpha1 antitrypsin (Figure 5) and negativity for S-100, CD1a, factor XIIIa, and cytokeratins.
case_images: Positivity for vimentin (x10).
case_images: CRIDM2020-8826715.004.jpg
case_images: PMC7803178_01_CRIDM2020-8826715.004.jpg
case_images: fig4
case_images: The immunohistochemical study showed positivity for histiocytic markers CD 68 (Figure 3), vimentin (Figure 4), and alpha1 antitrypsin (Figure 5) and negativity for S-100, CD1a, factor XIIIa, and cytokeratins.
case_images: Positivity for alpha1 antitrypsin (x20).
case_images: CRIDM2020-8826715.005.jpg
case_images: PMC7803178_01_CRIDM2020-8826715.005.jpg
case_images: fig5
case_images: The immunohistochemical study showed positivity for histiocytic markers CD 68 (Figure 3), vimentin (Figure 4), and alpha1 antitrypsin (Figure 5) and negativity for S-100, CD1a, factor XIIIa, and cytokeratins.