WDS: IJWD

IJWD Image Quiz Challenge

Images in Women's Dermatology Quiz

What is the diagnosis?






Case:

A 38-year-old single male patient presented seeking advice for oral lesions, which had begun 6 months earlier (Fig. 1A and B). He was otherwise healthy but reported recent fatigue, abdominal pain, and a 6-month unintentional weight loss of 10 kg. Bacteriological and mycological samples of the lesions were negative. Biopsies of the labial commissure and lower lip both disclosed noncaseous granulomas in the lamina propria. Complete examination of the skin and anal mucosa were normal.