case_images: PMC10823326_01
case_images: Erythematous plaques on upper lip area and right cheek area with crusts.
case_images: omad141f1.jpg
case_images: PMC10823326_01_omad141f1.jpg
case_images: f1
case_images: A 43-year-old man, a trekking guide by profession, visited the office with complaints of a mildly itchy red mass over the upper lip area for five years (Fig. 1).
case_images: Histopathology showing dermis densely infiltrated with lymphocytes, histiocytes and plasma cells (magnification 10x).
case_images: omad141f2.jpg
case_images: PMC10823326_01_omad141f2.jpg
case_images: f2
case_images: The Periodic acid-Schiff (PAS) stain was negative for fungal elements, and the Ziehl-Neelsen (ZN) staining was also negative for acid-fast bacilli (Fig. 2).
case_images: Partially healed plaque after taking oral fluconazole for three months.
case_images: omad141f3.jpg
case_images: PMC10823326_01_omad141f3.jpg
case_images: f3
case_images: The lesion size gradually decreased within three months of starting oral fluconazole (Fig. 3).
case_images: Complete resolution of the plaque after taking miltefosine for two months.
case_images: omad141f4.jpg
case_images: PMC10823326_01_omad141f4.jpg
case_images: f4
case_images: Within two months of initiating oral miltefosine, a significant improvement was observed, and the lesion disappeared completely (Fig. 4).