This person had the cutaneous form 5 years ago and received treatment; 2 years later, he presented nasal obstruction, rhinorrhea, and pain, and a year later, it affected the palate. It spread to the upper lip 7 months ago, with large ulcerations, serous sanguineous crusts, and considerable edema and infiltration. Granulomatous infiltration of the palate is visible and there is a similar small lesion on the lower lip.
From: Maia-Elkhoury ANS, Hernández CA, Ovalle-Bracho C, et al. Interactive Atlas of Leishmaniasis in the Americas: Clinical Aspects and Differential Diagnosis, Pan American Health Organization 2020.
https://iris.paho.org/handle/10665.2/53166 (Accessed on June 18, 2024). Reproduced with permission from Jaime Soto, MD.
