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  Indian J Med Microbiol
 

Figure 1 Large hyperpigmented patch covering major portion of back, neck, upper chest, and axilla with multiple satellite lesions involving lower back, buttock, and abdomen. The patch is studded with multiple soft swellings on the back along with hair on the shoulder and neck.

Figure 1 Large hyperpigmented patch covering major portion of back, neck, upper chest, and axilla with multiple satellite lesions involving lower back, buttock, and abdomen. The patch is studded with multiple soft swellings on the back along with hair on the shoulder and neck.