A 23-year-old Vietnamese woman was initially seen with a three-year history of an asymptomatic eruption that had begun as a large plaque on her back. Subsequently, her face, trunk, and extremities became involved. Physical examination disclosed brown to violaceous, annular plaques, with indurated margins and central hypopigmentation, on her back, arms, and face (Fig 1). Multiple, violaceous nodules and ill-defined, hypopigmented, sclerotic plaques were seen on the legs. On neurologic examination, diffuse hypesthesia was present, but motor strength was intact and no palpable nerves were noted. Histologic sections from a biopsy specimen from a leg lesion are shown in Fig 2 and 3.
What is your diagnosis?
PATHOLOGY QUIZ CASE 1
Capt Robert M. Michaud, MC, USAF, University of Minnesota, Minneapolis
PATHOLOGY QUIZ CASE 2
Carl R. Thornfeldt, MD, University of California Medical Center, San DiegoA 61-year-old man had a one-year history of an asymptomatic eruption. The lesions began
WALTER JF. Resident's Page. Arch Dermatol. 1982;118(5):358-360. doi:10.1001/archderm.1982.01650170072030