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Research ArticleCurrent Practice

Question: Can you identify this condition?

Chau Nguyen
Canadian Family Physician August 2007; 53 (8) 1307;
Chau Nguyen
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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 hepatosplenomegaly was found. A biopsy of the lesion showed many tiny roundish and basophilic structures within macrophages (Figure 2).

FIGURE 1
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FIGURE 1
FIGURE 2
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FIGURE 2

The most likely diagnosis is

  1. Blastomycosis

  2. Cutaneous leishmaniasis

  3. Tuberculosis

  4. Squamous cell carcinoma

Answer on page 1317

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Canadian Family Physician: 53 (8)
Canadian Family Physician
Vol. 53, Issue 8
1 Aug 2007
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Question: Can you identify this condition?
Chau Nguyen
Canadian Family Physician Aug 2007, 53 (8) 1307;

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