case_images: PMC7528117_01
case_images: Defect in the nasal wing.
case_images: CRIID2020-8876020.001.jpg
case_images: PMC7528117_01_CRIID2020-8876020.001.jpg
case_images: fig1
case_images: Nasal septum perforation.
case_images: CRIID2020-8876020.002.jpg
case_images: PMC7528117_01_CRIID2020-8876020.002.jpg
case_images: fig2
case_images: Granulomatous lesion on the palate.
case_images: CRIID2020-8876020.003.jpg
case_images: PMC7528117_01_CRIID2020-8876020.003.jpg
case_images: fig3
case_images: Intrabuccal examination revealed granulomatous lesion involving the entire palate and uvula, extending to the pharynx bilaterally with erythematous appearance and presence of scratchable white plaques distributed in some regions (Figures 3 and 4).
case_images: Lesion extending to the pharynx.
case_images: CRIID2020-8876020.004.jpg
case_images: PMC7528117_01_CRIID2020-8876020.004.jpg
case_images: fig4
case_images: Intrabuccal examination revealed granulomatous lesion involving the entire palate and uvula, extending to the pharynx bilaterally with erythematous appearance and presence of scratchable white plaques distributed in some regions (Figures 3 and 4).
case_images: Result of the histopathological examination conducted by the Laboratory of Pathological Anatomy, Dr. Paino: ulcerative inflammatory process with lymph-plasmacytic predominance and possible leishmaniasis with etiological agent not demonstrable by the method of hematoxylin and eosin or giemsa (hyperallergic reaction?). A close clinical-epidemiological correlation is necessary, as well as with Montenegro intradermal reaction. Note: there is no evidence of malignancy.
case_images: CRIID2020-8876020.005.jpg
case_images: PMC7528117_01_CRIID2020-8876020.005.jpg
case_images: fig5
case_images: Positive Montenegro reaction (exacerbated).
case_images: CRIID2020-8876020.006.jpg
case_images: PMC7528117_01_CRIID2020-8876020.006.jpg
case_images: fig6
case_images: Clinical appearance after treatment with glucantime.
case_images: CRIID2020-8876020.007.jpg
case_images: PMC7528117_01_CRIID2020-8876020.007.jpg
case_images: fig7
case_images: Intraoral clinical examination was conducted where complete regression of the lesion was observed, leaving only cicatricial aspect (Figures 7 and 8).
case_images: Clinical appearance after treatment with glucantime.
case_images: CRIID2020-8876020.008.jpg
case_images: PMC7528117_01_CRIID2020-8876020.008.jpg
case_images: fig8
case_images: Intraoral clinical examination was conducted where complete regression of the lesion was observed, leaving only cicatricial aspect (Figures 7 and 8).