Correia, CatarinaFerreira, JoãoSoares-de-Almeida, LuísFilipe, Paulo2022-10-122022-10-122022Actas Dermosifiliogr. 2022 Oct;113(9):T8990001-7310http://hdl.handle.net/10451/54752© 2022 AEDV. Published by Elsevier España, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).A 35-year-old man from São Tomé e Príncipe presented with a 12-year history of a slowly progressive left foot mass. Physical examination displayed an extensive unpainful and well-defined mass in his left ankle’s posterolateral side. The lesion had multiple red, subcutaneous nodules with draining sinus tracts and grain discharge. Magnetic resonance imaging did not reveal osteomyelitis. A skin biopsy revealed granules in suppuration areas surrounded by eosinophilic material (Splendore-Hoeppli phenomenon).engjournal article10.1016/j.ad.2021.04.0131578-2190