Monthly QUIZ 

May 2003


Designed by;

O. Zargari , MD

Razi Hospital, Rasht, Iran


A 65-year-old woman presented with a 5 months history for a non-tender tumoral lesion on her nose. She denied any  underlying lesion or trauma in the area.

Physical examination revealed a crusted and indurated tumoral lesion on her nose. There was no cervical lymphadenopathy. A similar but smaller lesion was seen on her upper extremity. Routine laboratory examinations was normal. 

 What's your diagnosis/differentials and what is your recommended therapy for this patient?

Dx: Cutaneous Leishmaniasis