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  Indian J Med Microbiol
 

Figure 2: (a) Hyperpigmentation of the skin of the whole face with scleroderma like changes on facial skin, lips, nose, hypertrichosis over malar area. (b) Side view showing resorption of the auricular cartilage with a deformed pinna, along with saddling of the nasal bridge. (c) Shortening of distal phalenges, contractures of the interphalengial joints with skin changes on the dorsum of hand. (d) Skin changes on the foot with contractures of the interpahlengial joints with shortening of digits. (e) Skin biopsy specimen from upper eyelid, H and E stain, and 10 X magnification. Cell-poor sub epidermal bullae (single arrow) along with festooning of dermal papillae (arrow head), thickening and hyalinisation of dermal vessel wall along with perivascular mononuclear infiltrate

Figure 2: (a) Hyperpigmentation of the skin of the whole face with scleroderma like changes on facial skin, lips, nose, hypertrichosis over malar area. (b) Side view showing resorption of the auricular cartilage with a deformed pinna, along with saddling of the nasal bridge. (c) Shortening of distal phalenges, contractures of the interphalengial joints with skin changes on the dorsum of hand. (d) Skin changes on the foot with contractures of the interpahlengial joints with shortening of digits. (e) Skin biopsy specimen from upper eyelid, H and E stain, and 10 X magnification. Cell-poor sub epidermal bullae (single arrow) along with festooning of dermal papillae (arrow head), thickening and hyalinisation of dermal vessel wall along with perivascular mononuclear infiltrate