Challenge


July, 02, 2018

A 19-year-old woman presented with painful ulcerated lesions on face, conjunctiva and lower arm. There was a painful lymphadenopathy as well. She had fever and general malaise. Her medical history was unremarkable. She had not medications. On examination, we observed inflammatory plaques with a central depressed ulceration, minor oozing and raised, sharp borders above the left mandible and on the flexural left lower arm, surrounded by erythema with a maximum diameter of 7 cm. A similar lesion was observed on the conjunctiva of the left lower lid. A single seropapule was noted on the left cheek. Regional lymph nodes on the neck were swollen and painful on pressure.

Laboratory investigations

Histologic examination

Answer

 


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