A 15 year old girl of Peruvian origin presents with a 3 month history of a slowly enlarging erythematous plaque extending over her nose and left cheek.
The lesion started as a small, asymptomatic papule which slowly increased in size.
Her medical and surgical histories are unremarkable; her family history is significant for Discoid Lupus Erythematosus in her mother.
She spent her summer vacation with her grandmother in Peru and returned home 1 month prior to the onset of symptoms.
Select Relevant Investigations
Full Blood Count
WBC: 9600/mm3 (4000-11000)
N: 55% (50-70)
L: 35% (20-40)
Hb: 13.2 g/dL (11.5-15.5)
Platelets: 220,000 (150,000-400,000)
Skin Scrapings for Leishmania
The skin scrapings are negative for Leishmania amastigotes.
Biopsy of Skin Lesion
There is a diffuse dermal infiltrate predominantly consisting of macrophages. Numerous intracellular amastigotes are present.
Select Relevant Management
Avoid Exposure to Sun
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