Figure 1-Low power magnification showing a superficial and deep perivascular infiltrate.





Image 2 -Higher power magnification shows larger, atypical cells admixed with chronic inflammatory cells.

Image 3-The larger atypical cells have prominent nucleoli and occasional angulated nuclei. Note the background inflammatory cell infiltrate consisting of benign lymphocytes, eosinophils, neutrophils, and plasma cells.

What is your diagnosis?

Case Study

This is a 42 year old woman with diffuse papules distributed over the trunk and arms.