Abstract

A previously healthy 42-year-old male from North Africa presented to the dermatology clinic with skin lesions over his limbs and abdomen for two months. He reported minimal associated pruritus, but no systemic complaints. Local skin examination showed three erythematous and ulcerated nodules over the left forearm, left flank, and right thigh. The rest of the systemic examination was unremarkable. A bacterial swab from the nodules was negative and treatment with oral antibiotics did not help. A skin biopsy was obtained and findings in high magnification are shown. Skin biopsy demonstrated numerous amastigotes within histiocytes highlighted by Giemsa stain confirming the clinical diagnosis of cutaneous leishmaniasis (CL). The patient was started on treatment with local cryotherapy sessions in combination with oral itraconazole 200 mg/day.

Keywords

Publication details

DOI
10.5001/omj.2023.104
Journal
Oman Medical Journal
Publisher
Oman Medical Specialty Board
Open access
Gold open access

Cite this article

APA 7

Al-Qassabi, A. M., Al Riyami, A. Z., & Al Kamyani, O. (2023). Multiple Ulcerated Nodules. Oman Medical Journal. https://doi.org/10.5001/omj.2023.104

MLA 9

Al-Qassabi, Al Mutasim, et al. "Multiple Ulcerated Nodules." Oman Medical Journal, 2023. https://doi.org/10.5001/omj.2023.104.

Chicago (author–date)

Al-Qassabi, Al Mutasim, Al Zahra Al Riyami, and Omaima Al Kamyani. 2023. "Multiple Ulcerated Nodules." Oman Medical Journal. https://doi.org/10.5001/omj.2023.104.

Harvard

Al-Qassabi, A. M., Al Riyami, A. Z. and Al Kamyani, O. (2023) 'Multiple Ulcerated Nodules', Oman Medical Journal. doi:10.5001/omj.2023.104.

Vancouver

Al-Qassabi AM, Al Riyami AZ, Al Kamyani O. Multiple Ulcerated Nodules. Oman Medical Journal. 2023. doi:10.5001/omj.2023.104

IEEE

A. M. Al-Qassabi, A. Z. Al Riyami, and O. Al Kamyani, "Multiple Ulcerated Nodules," Oman Medical Journal, 2023, doi: 10.5001/omj.2023.104.