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Small erythematous crusted papule on a boy's face
Small erythematous crusted papule on a boy’s face Husein Husein-ElAhmed, MD,a Jose Aneiros-Fernandez, MD,b Salvador Arias-Santiago, MD,a Marıa Antonia Fernandez-Pugnaire, MD,a Rosa Maria Ortega Del Olmo, MD,c and Ramon Naranjo-Sintes, MDa Granada, Spain
A 12-year-old boy was evaluated for a skin lesion on his left cheek. His parents noticed the lesion 2 days after returning from a 4-week trip to Venezuela. The lesion began as a 1-cm diameter raised papule that enlarged over the next 2 weeks to the present ulcer (Fig 1). There were no local or systemic symptoms or lymphadenopathy. A biopsy specimen was obtained (Figs 2 and 3). 1.
What is the most sensitive method to diagnose leishmaniasis? A. Fluorescent antibody test B. Liver biopsy specimen C. Polymerase chain reaction D. Leishmanin skin test E. Rapid antibody detection method
From the Units of Dermatologya and Pathology,b San Cecilio University Hospital, Granada, Spain and the School of Medicine,c University of Grenada, Spain. Funding sources: None. Conflicts of interest: None declared. Reprints not available from the authors. Correspondence to: Husein Husein-ElAhmed, MD, Unit of Dermatology, San Cecilio University Hospital, Av Dr
Oloriz, Granada, 18012, Spain. E-mail: huseinelahmed@hotmail. com. J Am Acad Dermatol 2011;64:e97-8. 0190-9622/$36.00 ª 2010 by the American Academy of Dermatology, Inc. doi:10.1016/j.jaad.2010.05.036
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J AM ACAD DERMATOL
JUNE 2011
The safe use of antimony compounds, first-line treatment for New World leishmaniasis, requires performance of which test, both before and during treatment? A. Audiometry B. Color vision test C. Bone densitometry D. Electrocardiogram E. Neurologic reflex examination Please visit http://www.eblueimages.org to answer these questions.
A 12-year-old boy was evaluated for a skin lesion on his left cheek. His parents noticed the lesion 2 days after returning from a 4-week trip to Venezuela. The lesion began as a 1-cm diameter raised papule that enlarged over the next 2 weeks to the present ulcer (Fig 1). There were no local or systemic symptoms or lymphadenopathy. A biopsy specimen was obtained (Figs 2 and 3). 1.
What is the most sensitive method to diagnose leishmaniasis? A. Fluorescent antibody test B. Liver biopsy specimen C. Polymerase chain reaction D. Leishmanin skin test E. Rapid antibody detection method
From the Units of Dermatologya and Pathology,b San Cecilio University Hospital, Granada, Spain and the School of Medicine,c University of Grenada, Spain. Funding sources: None. Conflicts of interest: None declared. Reprints not available from the authors. Correspondence to: Husein Husein-ElAhmed, MD, Unit of Dermatology, San Cecilio University Hospital, Av Dr
Oloriz, Granada, 18012, Spain. E-mail: huseinelahmed@hotmail. com. J Am Acad Dermatol 2011;64:e97-8. 0190-9622/$36.00 ª 2010 by the American Academy of Dermatology, Inc. doi:10.1016/j.jaad.2010.05.036
e97
e98 Husein-ElAhmed et al
2.
J AM ACAD DERMATOL
JUNE 2011
The safe use of antimony compounds, first-line treatment for New World leishmaniasis, requires performance of which test, both before and during treatment? A. Audiometry B. Color vision test C. Bone densitometry D. Electrocardiogram E. Neurologic reflex examination Please visit http://www.eblueimages.org to answer these questions.