Fig.8-A1 Chronic mucocutaneous Leishmaniasis
A coffee farmer of the Venezuelan Andes presents a huge skin defect of the nose accompanied by a destruction of the nasal partition. The diseases started 10 years ago.
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Fig.8-B1 Lethal midline granuloma
In this the nose is completely destroyed and necrotic. The disease developed seven months earlier with a rhinitis. Later, bleedings and ulcers started, without any response to the medical therapy. After being hospitalized heavy bleedings occurred and the patient died. No autopsy could be performed.
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