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September 20, 2010

Tender Papules and Plaques Adjacent to a Scar—Diagnosis

Author Affiliations
 

MARY S.STONEMDSOONBAHRAMIMDCARRIE ANN R.CUSACKMDSENAIT W.DYSONMDMOLLY A.HINSHAWMDARNI K.KRISTJANSSONMD

Arch Dermatol. 2011;147(1):109-114. doi:10.1001/archdermatol.2010.402-b

The epidermis and superficial dermis were unremarkable. The deep dermis and subcutis contained numerous, well-formed granulomas (Figure 3) composed of epithelioid histiocytes and foreign body–type giant cells admixed with sparse lymphocytes. Caseation necrosis was absent. Polarization microscopy demonstrated only very few particles of foreign material within giant cells. Special stains were negative for fungi and mycobacteria.

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