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Vol 53: august • août 2007  Canadian Family Physician•Le Médecin de famille canadien

1307

Current Practice

•

Pratique courante

Dermacase

Can you identify this condition?

Chau Nguyen

MD FRCPC

A 

21-year-old man from Sudan presented with a large facial mass. During the 3 months after his arrival  in Canada, it had gradually grown to a roundish raised lesion 3 cm in diameter (Figure 1). Although  there was local pain, there was no discharge, fever, or weight loss. No local lymphadenopathy or hepa- tosplenomegaly was found. A biopsy of the lesion showed many tiny roundish and basophilic structures  within macrophages (Figure 2). 

The most likely diagnosis is 1. Blastomycosis

2. Cutaneous leishmaniasis 3. Tuberculosis

4. Squamous cell carcinoma

Answer on page 1317 FiguRe 1

FiguRe 2

FOR PRESCRIBING INFORMATION SEE PAGE 1374

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