A punch biopsy was obtained from these skin lesions, showing deep dermis and subcutaneous adipose tissue that contained "multiple granulomas composed of histiocytes and multinucleated giant cells without caseating necrosis". 
A punch biopsy was obtained from these skin lesions , showing deep dermis and subcutaneous adipose tissue that contained " multiple granulomas composed of histiocytes and multinucleated giant cells without caseating necrosis " .