PMC7528117_01
Defect in the nasal wing.
CRIID2020-8876020.001.jpg
PMC7528117_01_CRIID2020-8876020.001.jpg
fig1
Nasal septum perforation.
CRIID2020-8876020.002.jpg
PMC7528117_01_CRIID2020-8876020.002.jpg
fig2
Granulomatous lesion on the palate.
CRIID2020-8876020.003.jpg
PMC7528117_01_CRIID2020-8876020.003.jpg
fig3
Intrabuccal examination revealed granulomatous lesion involving the entire palate and uvula, extending to the pharynx bilaterally with erythematous appearance and presence of scratchable white plaques distributed in some regions (Figures 3 and 4).
Lesion extending to the pharynx.
CRIID2020-8876020.004.jpg
PMC7528117_01_CRIID2020-8876020.004.jpg
fig4
Intrabuccal examination revealed granulomatous lesion involving the entire palate and uvula, extending to the pharynx bilaterally with erythematous appearance and presence of scratchable white plaques distributed in some regions (Figures 3 and 4).
Result of the histopathological examination conducted by the Laboratory of Pathological Anatomy, Dr. Paino: ulcerative inflammatory process with lymph-plasmacytic predominance and possible leishmaniasis with etiological agent not demonstrable by the method of hematoxylin and eosin or giemsa (hyperallergic reaction?). A close clinical-epidemiological correlation is necessary, as well as with Montenegro intradermal reaction. Note: there is no evidence of malignancy.
CRIID2020-8876020.005.jpg
PMC7528117_01_CRIID2020-8876020.005.jpg
fig5
Positive Montenegro reaction (exacerbated).
CRIID2020-8876020.006.jpg
PMC7528117_01_CRIID2020-8876020.006.jpg
fig6
Clinical appearance after treatment with glucantime.
CRIID2020-8876020.007.jpg
PMC7528117_01_CRIID2020-8876020.007.jpg
fig7
Intraoral clinical examination was conducted where complete regression of the lesion was observed, leaving only cicatricial aspect (Figures 7 and 8).
Clinical appearance after treatment with glucantime.
CRIID2020-8876020.008.jpg
PMC7528117_01_CRIID2020-8876020.008.jpg
fig8
Intraoral clinical examination was conducted where complete regression of the lesion was observed, leaving only cicatricial aspect (Figures 7 and 8).