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Lesion aspect before (A) and after leishmania specific treatment (B)
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A well-circumscribed, erythematous plaque with a thin rolled border and large erosions and crusts on the surface A single well-defined, ulcer surrounded by erythematous edging, with serous oozing (3x3cm in size), was observed at her right arm near the axilla (Figure 1 A). A year later, the lesion was clinically almost the same (Figure 1 B).
Ulcerations and short, fine arborizing vessels on dermoscopy
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A polarized dermoscopy examination revealed ulcerations and short, fine arborizing vessels (Figure 2), evocative of a basal cell carcinoma.