have you said so? The case presented can be mistaken for what skin cancer? Why? What treatment is best to be given? What protective measures can be done to avoid the recurrence of the disease?
A 31-year-old man presented with slowly spreading hyperpigmented and crusted lesions with the largest measuring 3 cm x 4 cm. The lesion started from the right sole of the foot and spread diffusely through the left ankle. He did not have similar lesions in the past, and there is no significant history of any chronic illness in the past. Upon examining his skin biopsy samples, the histopathological examination results showed:
a. Pseudoepitheliomatous epidermal hyperplasia with the presence of pigmented spores arranged singly and in chains with peripheral neutrophil infiltration.
b. Ziehl- Neelson staning negative
c. PAS positive
d. Pus and granules negative
e. Presence of granulomas along with golden- brown, thick- walled, spherical bodies about 5 to 8 μm in size.
Questions:
- What disease can you infer from the results that are shown? Why have you said so?
- The case presented can be mistaken for what skin cancer? Why?
- What treatment is best to be given?
- What protective measures can be done to avoid the recurrence of the disease?
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