case_images: PMC7585787_01
case_images: MCL. Affecting the nose, upper lips and face.
case_images: IMCRJ-13-551-g0001.jpg
case_images: PMC7585787_01_IMCRJ-13-551-g0001.jpg
case_images: f0001
case_images: He presented with multiple skin lesions on his face, hands and mutilation of nose as shown in Figure 1.
case_images: Disseminated CL. Affecting hands with characteristic multiple nodular lesions which crust at the center.
case_images: IMCRJ-13-551-g0002.jpg
case_images: PMC7585787_01_IMCRJ-13-551-g0002.jpg
case_images: f0002
case_images: As shown in Figure 2, later on, the ulcer disseminated to cover both hands and mutilate the nose through both nostrils.
case_images: Amastigotes from Giemsa-stained smear prepared from skin lesion.
case_images: IMCRJ-13-551-g0003.jpg
case_images: PMC7585787_01_IMCRJ-13-551-g0003.jpg
case_images: f0003
case_images: As shown in Figure 3, microscopic examination of the stained smear revealed presence of many macrophages filled with amastigote stages of Leishmania graded as +6.
case_images: DCL. Affecting the face (A) and leg (B and C).
case_images: IMCRJ-13-551-g0004.jpg
case_images: PMC7585787_01_IMCRJ-13-551-g0004.jpg
case_images: f0004
case_images: As shown in Figure 4, he presented with multiple, nonpitting, closed papules on his face, nose hands and legs.