Dermoscopy is a non-invasive technique widely used to aid in the characterization
and diagnosis of pigmented skin lesions. Recently, it has also been employed for
the evaluation of non-pigmented skin tumours, and inflammatory and infectious
cutaneous diseases. Although the diagnosis of cutaneous leishmaniasis is
confirmed by the demonstration of amastigotes in infected skin or by the growth
of promastigotes in culture medium, dermoscopy could be useful as a further
diagnostic test. We report a patient with a nodular lesion located on the right
cheek for almost two years. The lesion was clinically suggestive of cutaneous
leishmaniasis. Dermoscopy showed yellow tears, erythema and vascular structures.
The diagnosis was confirmed by the demonstration of amastigotes in a skin
scraping sample.
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