10/15/2009
Derm Teaching Set 6
Pseudoepitheliomatous hyperplasia and suppurative granulomatous inflammation; organisms consistent with Leishmania seen on H&E
- Case Overview
- Diagnosis
Age:
48
Sex:
male
Condition:
Left inferior arm skin biopsy
Note:
Caucasian
Similar Cases
04/25/2012
A young woman felt a skin nodule on her thigh.
Procedure: excisional biopsy.
Micro: see photos. 4X to 40X. H&E stain.
What is the name of this organism?
Comments
This correspond to an onchocercoma
Filarial nodules does not exist only in subcutaneous lymph nodes in the leg since the parasites emigrate via the lymphatics blocking the lymphatic and causing lymphedema
If this is a case of leishmaniasis. The skin shows oriminent hiperplasia with queratotic plugs and hiperqueratosis and probably corresponds to the verrucous type of leihmaniasis