case_images: PMC5015501_01
case_images: Nodular lesions on the right leg
case_images: JLP-9-57-g001.jpg
case_images: PMC5015501_01_JLP-9-57-g001.jpg
case_images: F1
case_images: On clinical examination, multiple erythematous nodules and plaques of varying sizes ranging from 3 mm to 3 cm in diameter were seen on bilateral ear pinna and bony prominences of the extremities, i.e., elbows, knees, malleoli, and dorsal aspect of bilateral feet [Figure 1].
case_images: Acid-fast Bacilli in large numbers, grouped together in cigar-bundle appearance. Stained with modified Ziehl-Neelsen staining, x100
case_images: JLP-9-57-g002.jpg
case_images: PMC5015501_01_JLP-9-57-g002.jpg
case_images: F2
case_images: AFB in large numbers [Figure 2]. A bacterial index of 4+ (10 AFB per oil immersion field) was recorded.
case_images: Dermis showing diffuse polymorphous inflammatory infiltrate with foamy histiocytes, neutrophils, plasma cells, and lymphocytes; stained with H and E, x100
case_images: JLP-9-57-g003.jpg
case_images: PMC5015501_01_JLP-9-57-g003.jpg
case_images: F3
case_images: Histopathological examination of skin biopsy showed an unremarkable epidermis with underlying dermis showing a diffuse polymorphous inflammatory infiltrate coexisting with foamy histiocytes, neutrophils, plasma cells, and lymphocytes, extending from dermis to subcutis [Figure 3].
case_images: Fite-Faraco stain demonstrating acid-fast Bacilli, x100
case_images: JLP-9-57-g004.jpg
case_images: PMC5015501_01_JLP-9-57-g004.jpg
case_images: F4
case_images: AFB were highlighted by Fite-Faraco stain [Figure 4].