Pakistan Society of Teledermatology was founded in 2004 in Lahore by a few devoted dermatologists from renowned teaching institutions and research centers with the prime objective of creating awareness among dermatologists, family practitioners, and general public regarding the need and importance of providing specialist dermatology services through telecommunication to the remote and rural areas of Pakistan.
An ulcerated plaque with erythematous indurated borders
This young man had several month history of developing a non healing ulcerated lesion with erythematous, indurated borders on the left arm. What would be the differential diagnosis?
The differntial diagnosis would include cutaneous malignancies such as keratoacanthoma, SCC or BCC, infectious granulomas such as leishmaniasis, atypical TB or nocardia, non-infectious granulomas such as foreign body granuloma, sarcoidosis, and acquired perforating disease.
3 comments:
The patient came from an endemic area for Leishmaniasis. It was a case of cutaneous Leishmaniasis.
The differntial diagnosis would include cutaneous malignancies such as keratoacanthoma, SCC or
BCC, infectious granulomas such as leishmaniasis, atypical TB or
nocardia, non-infectious granulomas such as foreign body granuloma,
sarcoidosis, and acquired perforating disease.
Appears to be lupus vulgaris
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