Figures Legend:
Figure 1: a, b) Hyperkeratotic erythematous nodular lesions
with secondary ulceration and pustules. c) Evolution over time, the
lesion became more hyperkeratotic and exophytic. d) black dots on the
surface of the lesion, representing sclerotic bodies.
Figure 2: Numerous muriform/sclerotcic bodies seen on KOH
examination
Author Contributions: Joe khodeir conceived the study,
diagnosed and managed the patient, and drafted the manuscript. Paul
ohanian conducted the literature review and contributed to the
manuscript writing. Hala Megarbane contributed to the diagnosis and
treatment discussion. All authors critically reviewed and approved the
final manuscript