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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 74-year-old man with a history of a skin graft on the left external ear due to a third-degree burn in childhood was admitted for an asymptomatic lesion on the left external ear&#44; over the skin graft area&#44; that started 7 months earlier&#46; The lesion was defined as an infiltrating erythematosus plaque that was rough to the touch&#44; with erosions and superficial yellowish-hemorrhagic crusts &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46; The skin biopsy performed on one of the lesions revealed the presence of a dense dermo-hypodermic inflammatory infiltrate&#44; with granulomas and intracytoplasmic basophilic punctate structures in the histiocytes&#44; interpreted as amastigotes &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">With the diagnosis of cutaneous leishmaniasis&#44; we started treatment with intralesional meglumine antimoniate&#44; with complete resolution of the lesions &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41;&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Cutaneous leishmaniasis is part of a group of diseases caused by infection of protozoa from the <span class="elsevierStyleItalic">Leishmania</span> genus&#44; transmitted by the bite of sand flies from the <span class="elsevierStyleItalic">Phlebotomus</span> genus in the Old World and <span class="elsevierStyleItalic">Lutzomyia</span> in the New World&#46; The skin form is the most common type of leishmaniasis&#44; but auricular involvement is exceptional&#44; with few cases reported in the medical literature&#46; Diagnosing this condition is a challenge&#44; given its clinical heterogeneity&#44; mimicking both infectious diseases and tumors&#44; and requires microbiological&#44; cytological and&#47;or histopathological studies to confirm the diagnosis&#46; Our patient&#39;s differential diagnosis included basal cell carcinoma and squamous cell carcinoma&#44; due to the patient&#39;s history of a previous burn in this location&#44; and lupoid leishmaniasis&#46; The intralesional administration of pentavalent antimonials on localized lesions is the treatment of choice&#46;</p></span>"
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Vol. 220. Issue 2.
Pages 139-140 (March 2020)
Medicine in Images
DOI: 10.1016/j.rceng.2018.12.004
Erosive and crusty plaque located in the ear of a patient with a childhood burn history
Placa erosiva y costrosa auricular en paciente con antecedente de quemadura en la infancia
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L. Quintana-Castanedo
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luciaquintana.e@gmail.com

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, R. Maseda-Pedrero, P. Herranz-Pinto
Servicio de Dermatología, Hospital Universitario La Paz, Madrid, Spain
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