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  Indian J Med Microbiol
 

Figure 2: Elastosis perforans serpiginosa: (a) A “serpiginous” epidermal channel with transepidermal elimination of elastic fibers; (b) epidermal hyperplasia forming a curvilinear channel filled with basophilic keratotic debris (H and E, ×40); (c) thick eosinophilic elastic fibers extending into the channel through the perforation at the base (H and E, ×200); (d) increased coarse elastic fibers in the papillary dermis while the altered elastic fibers coursing through the channel appear pale (Verhoeff-Van Gieson, ×100)

Figure 2: Elastosis perforans serpiginosa: (a) A “serpiginous” epidermal channel with transepidermal elimination of elastic fibers; (b) epidermal hyperplasia forming a curvilinear channel filled with basophilic keratotic debris (H and E, ×40); (c) thick eosinophilic elastic fibers extending into the channel through the perforation at the base (H and E, ×200); (d) increased coarse elastic fibers in the papillary dermis while the altered elastic fibers coursing through the channel appear pale (Verhoeff-Van Gieson, ×100)