Right buttock rash for thirty years in a patient from China.

Figure 1. A, Well-demarcated exophytic fungating plaque with linear keloid, peripheral crusting, and distal hyperpigmentation; B, hematoxylin-eosin stain reveals parakeratosis, pseudoepitheliomatous hyperplasia, mixed inflammatory infiltrate, and foreign body giant cells (courtesy of M. J. Zimarowski);C, hematoxylin-eosin stain of pigmented sclerotic bodies (arrow) (courtesy of M. J. Zimarowski); D, lactophenol aniline blue preparation reveals septate hyphae with semierect conidiophores and barrel-shaped conidia (arrow) (courtesy of Q. Qian).