A 20 year old women with an ulcer

A 20 year old women with an ulcer

1. developed itchy erythematous papules and plaques on the dorsum of the left hand

   • referred to the hospital and was seen by a dermatologist.
     • A provisional diagnosis of Cutaneous Leishmaniasis was made
       • Investigation and Results
         • follow up after 5 weeks
           • Advice was also given to parents about protection from the disease
           • bleeding other infections due to a weakened immune system, which can be life-threatening disfigurement
             • Visceral leishmaniasis is often fatal due to the effects it has on both internal organs and your immune system
           • Anti-amoebic Mixed amebicide (Luminal and Systemic) Metronidazole in combination with a luminal amebicidal drug such as diloxanide furoate
       • Splenic aspirate Bone marrow aspirate Lymph node aspirate Dermal scrapings
       • Microscopy: Giemsa-stained smear. Culture: Novy-McNeal-Nicolle or other growth media
   • The ulcer was covered with a crust. It was raised, erythematous border with an ulcerative crater in the center. Its edge was indurated. There were multiple small nodules around the ulcer
     • Ulcers
       • It is a local defect of the surface of an organ or tissue that is produced by necrosis of cells and shedding of necrotic and inflammatory tissue.
       • Traumatic Causes
       • Vascular Insufficiency
       • Neoplastic Conditions
         • Basal Cell Carcinoma
           • Squamous cell carcinoma
             • Malignant melanoma
       • diabetes
       • cellulitis
       • Infective Processes
     • Itching
   • Cardinal Signs of Inflammation
     • calor
     • rubor
     • tumor
     • functio laesa
     • dolor

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