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  Indian J Med Microbiol
 

Figure 1: (a) Multiple, skin-colored, shiny papules with smooth surface on the inner aspect of the left upper extremity. (b) Multiple, skin-colored to hyperpigmented papules with central umbilication and crusting on the back. (c) Palisading granuloma in the superficial and mid dermis around the focus of mucin deposition and necrobiosis (H and E, ×10). (d) Mucin within the center of palisaded granuloma (Alcian blue, ×40). (e and f) After 3 weeks of antidiabetic therapy, the papular lesions completely resolved with residual hyper-pigmentation

Figure 1:  (a) Multiple, skin-colored, shiny papules with smooth surface on the inner aspect of the left upper extremity. (b) Multiple, skin-colored to hyperpigmented papules with central umbilication and crusting on the back. (c) Palisading granuloma in the superficial and mid dermis around the focus of mucin deposition and necrobiosis (H and E, ×10). (d) Mucin within the center of palisaded granuloma (Alcian blue, ×40). (e and f) After 3 weeks of antidiabetic therapy, the papular lesions completely resolved with residual hyper-pigmentation