Man with recurrent necrotic papules

Abstract

A 33-year-old man and 13-year-old-boy presented with lesions on the extremities and the back. The lesions began as erythematous nodules, became ulcerated with central eschar, and healed without scarring, only to recur in new locations (Fig 1). A biopsy revealed a diffuse, angiocentric, nodular, lymphocytic infiltrate of large atypical cells that coexpressed CD3, CD4, and CD30, associated with vascular thrombosis, necrosis, and ulceration (Figs 2 and 3). Results for further laboratory evaluation and evaluation for systemic involvement were negative.