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Image Number 361 (Leishmaniasis)

Nodule pink

Diagnosis: Leishmaniasis

Site: Nose

Sex: M

Age: 28

Type: Clinical and Histology

Description: Slowly growing nodule on the nose

Submitted by: Ian McColl

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Differential Diagnosis

History: This form of cutaneous Leishmaniasis begins as a slowly growing papule which evolves into a nodule which may break down into an ulcer.Most lesions spontaneously heal forming a scar but may take 6 months to do so.The condition is due to a bite from a sandfly Phlebotomus.In immunocompromised hosts the recidivans,sporotrichoid and mucocutaneous variants may occur.The diagnosis is made by examining smears of involved ulcers for organisms.

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