Multiple ulcers in an immunocompromised patient
2 Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Department of Dermatology, Venereology, and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh
|How to cite this article:
Bhattacharjee R, Chatterjee D, Narang T. Multiple ulcers in an immunocompromised patient. Indian J Dermatol Venereol Leprol 2020;86:394-397
A 60-year-old male presented to the dermatology outpatient department of the Postgraduate Medical Institute of Medical Education and Research, Chandigarh with multiple, crusted, ulcerative lesions of 2 months duration on the face. He had undergone renal transplantation 1 year ago for end-stage renal disease secondary to diabetic nephropathy, and was on oral prednisolone and tacrolimus. He had no other systemic complaints. No history of trauma or exposure to bird droppings was recalled. On cutaneous examination, there were four ulcers with rolled edges ranging in size from 1 × 1 cm to 1.5 × 1.5 cm, with overlying yellowish-brown to hemorrhagic crusting on the glabella, dorsum of nose and left cheek [Figure - 1]. A punch biopsy from the ulcer margin was obtained and submitted for histopathological examination and culture (fungal and bacterial) [Figure - 2]a, [Figure - 2]b, [Figure - 2]c.
|Figure 1: Ulcers with rolled edges with overlying yellowish-brown to hemorrhagic crusting on the glabella, dorsum of nose and left cheek|
What is the diagnosis?
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Conflicts of interest
There are no conflicts of interest.
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