Histologic examination of the facial lesion at low magnification revealed a superficial and deep perivascular, periadnexal, and interstitial mixed cellular infiltrate with lymphocytes and a few eosinophils (Figure 2). Higher magnification showed focal epidermal necrosis, ballooning of the keratinocytes with pale eosinophilic cytoplasm, and margination of the nucleoplasm, suggesting early viral changes (Figure 3).