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Quiz
2020:86:4;394-397
doi: 10.4103/ijdvl.IJDVL_538_17
PMID: 30516166

Multiple ulcers in an immunocompromised patient

Rajsmita Bhattacharjee1 , Debajyoti Chatterjee2 , Tarun Narang1
1 Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Tarun Narang
Department of Dermatology, Venereology, and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh
India
Published: 05-Dec-2018
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
Copyright: (C)2020 Indian Journal of Dermatology, Venereology, and Leprology

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
Figure 2:

Question

What is the diagnosis?



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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understands that name and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

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