A 58 yo man cames because of a 3-year hx of a infiltrated, erythematous plaque with poorly defined borders over the nasal tip, covered by crusts and a with yellowish discharge
Questions: Is the disease confined to the nose? Any trauma to the nose?
ROS: nasal congestion, low-grade fevers, fatigue ⟶ inflammatory process
3 possible main causes:
Uses nasal corticoids + agricultural worker + lives in Brazil
1. Infection 2. Cancer (SCC, BCC) 3. Autoimmune process
Risk for certain types of infection
CT scan: septal perforation + mucosal destruction
Biopsy: Epidermal hyperplasia with acute and chronic suppurative inflammation. Neg stains for fungi, amastigotes, and acid-fast bacilli PCR for Leishmania spp.: Positive
Final Diagnosis: Mucocutaneos Leishmaniasis
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