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Down the Rabbit Hole: Cutaneous Tuberculosis

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1 Down the Rabbit Hole: Cutaneous Tuberculosis
Joshua S. Mervis, BA, Brian C. Machler, MD, Andrew J. Hanly, MD, Daniel G. Federman, MD, FACP  The American Journal of Medicine  Volume 132, Issue 1, Pages (January 2019) DOI: /j.amjmed Copyright © Terms and Conditions

2 Figure 1 The patient's posterior trunk was marked with pink urticarial papules and plaques. The American Journal of Medicine  , 52-54DOI: ( /j.amjmed ) Copyright © Terms and Conditions

3 Figure 2 A perianal ulcer had yellow slough and surrounding erythema.
The American Journal of Medicine  , 52-54DOI: ( /j.amjmed ) Copyright © Terms and Conditions

4 Figure 3 A routine biopsy from a lesion on the patient's back demonstrated a polymorphous infiltrate of lymphocytes, eosinophils, and neutrophils consistent with a dermal hypersensitivity reaction (hematoxylin and eosin, 400x). The American Journal of Medicine  , 52-54DOI: ( /j.amjmed ) Copyright © Terms and Conditions

5 Figure 4 A biopsy sample was retrieved from the edge of the patient's perianal ulcer. (A) A histologic examination showed suppurative and granulomatous inflammation with giant cells (hematoxylin and eosin, 200x). (B) Numerousacid-fast, rod-shaped mycobacteria were identified (Ziehl-Neelson stain, 600x). The American Journal of Medicine  , 52-54DOI: ( /j.amjmed ) Copyright © Terms and Conditions


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