Case 165. Reference case 165B

　 　 　 　
　 Skin biopsy shows intradermal formation of epithelioid granulomas without caseous necrosis (HE). 　
　 　 　 　

　

 　 The papillary dermis is involved. Acid-fast staining is negative. Diagnostic hints include clinical information of numbness and histologic identification of nerve involvement by the granulomatous lesion.