case_images: PMC7083362_01
case_images: (A) Non-tender, flesh-colored papules and nodules on the face. An
  enlarged, infiltrated nose and scaly plaques on the body are shown. (B)
  One year after multibacillary-multidrug therapy.
case_images: 1678-9849-rsbmt-53-e20180468-gf1.jpg
case_images: PMC7083362_01_1678-9849-rsbmt-53-e20180468-gf1.jpg
case_images: f1
case_images: He had several flesh-colored papules and nodules on the face, an enlarged and infiltrated nose, and nodules on the ears (Figure 1A). The patient showed marked clinical improvement one year after MB-MDT (multibacillary multi-drug therapy) treatment which he is continuing (Figure 1B).
case_images: (A) The characteristic proliferation of spindled shaped histiocytes
  (H&E, 100x). (B) Distinct acid-fast bacilli (Modified PAS,
  100x).
case_images: 1678-9849-rsbmt-53-e20180468-gf2.jpg
case_images: PMC7083362_01_1678-9849-rsbmt-53-e20180468-gf2.jpg
case_images: f2
case_images: PAS, Warthin Starry, and a modified Ziehl-Neelsen stain highlighted numerous acid-fast bacilli (Figure 2).