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Boccia L., Piacquadio Sala G., Buonomo C., Nacca M., Battarra V. C., Morelli E.
Unità di Dermatologia Pediatrica Azienda Ospedaliera Sant’Anna e San Sebastiano di Caserta, Caserta
A 24-year-old man presented to hospital with violaceous nodular papules that were asymptomatic and had arisen about one week earlier on the left hand. Physical examination revealed bilateral axillary lymphadenopathy. Routine blood chemistry and chest x-ray were normal. Histology of a section of one lesion demonstrated a thickened parakeratotic corneum stratum, with a mixed inflammatory process that included neutrophil granulocytes, epithelioid histiocytic cells and lymphocytic elements in the underlying derma and small necrotic foci. The lesions revolved completely after a 2-week course of combined macrolide and quinolone therapy.
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