PMC7585787_01
MCL. Affecting the nose, upper lips and face.
IMCRJ-13-551-g0001.jpg
PMC7585787_01_IMCRJ-13-551-g0001.jpg
f0001
He presented with multiple skin lesions on his face, hands and mutilation of nose as shown in Figure 1.
Disseminated CL. Affecting hands with characteristic multiple nodular lesions which crust at the center.
IMCRJ-13-551-g0002.jpg
PMC7585787_01_IMCRJ-13-551-g0002.jpg
f0002
As shown in Figure 2, later on, the ulcer disseminated to cover both hands and mutilate the nose through both nostrils.
Amastigotes from Giemsa-stained smear prepared from skin lesion.
IMCRJ-13-551-g0003.jpg
PMC7585787_01_IMCRJ-13-551-g0003.jpg
f0003
As shown in Figure 3, microscopic examination of the stained smear revealed presence of many macrophages filled with amastigote stages of Leishmania graded as +6.
DCL. Affecting the face (A) and leg (B and C).
IMCRJ-13-551-g0004.jpg
PMC7585787_01_IMCRJ-13-551-g0004.jpg
f0004
As shown in Figure 4, he presented with multiple, nonpitting, closed papules on his face, nose hands and legs.