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case_images: Physical examination at first-day observation showed eyelids (A) and fingers edema (B) and (C). Erythematous plaques with thick scales on the trunk (D), back (E), and feet (F).
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case_images: The physical examination showed edema on the eyelids and fingers on both hands and feet (Figure 1A-C), accompanied by painful interphalangeal joints of both hands and feet, without madarosis, ear lobe infiltration, or nail changes. There was decreased sensitivity of annular erythematous macules and annular erythematous plaques with clear inner and outer borders that were covered by psoriasiform scales (Figure 2) on almost the entire part of the body (Figure 1D-F).
case_images: Erythematous plaques covered with psoriasiform scales on the left thigh.
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case_images: There was decreased sensitivity of annular erythematous macules and annular erythematous plaques with clear inner and outer borders that were covered by psoriasiform scales (Figure 2) on almost the entire part of the body (Figure 1D-F).
case_images: Histopathological findings of the erythematous plaques with psoriasiform scales showed granulomas (blue arrow) composed of a considerable number of histiocytes, Langhans giant cells (red arrow), and lymphocytes. (H and E, x100).
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case_images: Histopathological examinations revealed a granulomatous reaction with epithelioid cells, Langhans giant cells, and lymphocyte infiltration (Figure 3) that supported the diagnosis of mid-borderline leprosy.
case_images: Physical examination at 40th day of observation showed improvement on eyelid (A) and fingers edema (B) and (C). Erythematous plaques with thick scales on the trunk (D), back (E), and feet (F) became erythematous and hyperpigmented macules.
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case_images: The improvement of eyelids edema, fingers edema (Figure 4A-C), and skin lesions was seen on the 40th day of observation (Figure 4D-F).