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Figure 2 | Journal of Medical Case Reports

Figure 2

From: A 4-month-old baby presenting with dermal necrotizing granulomatous giant cell reaction at the injection site of 13-valent pneumococcal conjugate vaccine: a case report

Figure 2

Histopathology. Panel A : Low power view (4×): Tissue section of skin demonstrates hyperkeratosis (*), epidermal acanthosis (thickening, triangle) and an inflammatory dermal process (star). Panel B : Intermediate power view (20×): Dermal granuloma formation accompanied by multinucleated giant cells (arrows). Panels C-D: High power view (40×): Granulomatous giant cell inflammatory reaction, collection of epithelioid histiocytes admixed with lymphocytes rimmed by multinucleated giant cells.

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