Case #378 August 2014
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A 25-year-old female presented to a dermatologist with ulcerative lesions on her left arm and both lower legs. She had traveled to Panama three months prior. A biopsy specimen was obtained and sent to Pathology where it was sectioned and stained with hematoxylin and eosin (H&E). Figures A-D show what was observed at 1000x magnification with oil. What is your diagnosis? Based on what criteria? What, if any, other testing would you recommend?
Figure A
Figure B
Figure C
Figure D
Images presented in the monthly case studies are from specimens submitted for diagnosis or archiving. On rare occasions, clinical histories given may be partly fictitious.
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