Case #378 August 2014

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 AD 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?

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Images presented in the DPDx case studies are from specimens submitted for diagnosis or archiving. On rare occasions, clinical histories given may be partly fictitious.

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