Keloid-like lesions in a farmer from Amazonas

Abstract

A 54-year-old male farmer from Eirunepé (Amazon, Brazil) presented with a 30-year history of pink nodules and plaques on his left thigh and knee. In 2016, excisions of the lesions was performed at his hometown, but recurrence was observed after 3 months. Physical examination revealed papules, plaques, and keloid-like nodules on his left thigh and knee and some scarring areas (Fig 1). Direct mycological examination using potassium hydroxide was performed (Fig 2). A punch biopsy was also performed and histopathological examination using Grocott stain was performed (Fig 3).