Skin Deep

Multisystem Processes & Disorders

Step 1: View Clinicals

{"ops":[{"insert":"A 15 year old girl of Peruvian origin presents with a 3 month history of a slowly enlarging erythematous plaque extending over her nose and left cheek.\n\nThe lesion started as a small, asymptomatic papule which slowly increased in size.\n\nHer medical and surgical histories are unremarkable; her family history is significant for Discoid Lupus Erythematosus in her mother.\n \nShe spent her summer vacation with her grandmother in Peru and returned home 1 month prior to the onset of symptoms.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-054_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Full Blood Count
2. Skin Scrapings for Leishmania
3. Biopsy of Skin Lesion
4. Antinuclear Antibodies

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