Teledermatology is the delivery of dermatologic health care to remote locations by means of telecommunications and information technology. It facilitates delivery of services by a dermatologist at a different time and place than the patient who receives them. Both real-time videoconferences and store-and-forward systems have proven to be highly reliable and accurate in teledermatologic diagnosis compared to traditional face-to-face diagnosis.
What would be the differential diagnosis for a non healing ulcer present on the nose of a young boy for at least six months ?
posted by Dr. Shahbaz A.Janjua at 9:55 AM
2 Comments:
Dear Shahbaz,
He has certainly traumatised it but perhaps there is underlying Leishmaniasis.Sarcoidosis seldom ulcerates in this area.
Best wishes
Ian.
2:20 PM
I was also suspecting cutaneous leishmaniasis but the smear examination was negative for the parasites(amastigotes). Surprisingly the patient responded well to topical cotrimazole and oral metronidazole. Best regards, Shahbaz
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1:17 AM
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