A20-year-old woman with an ulcer

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Mind Map on A20-year-old woman with an ulcer, created by aa aa on 10/02/2020.
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Mind Map by aa aa, updated more than 1 year ago
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Resource summary

A20-year-old woman with an ulcer
  1. Patient Anni
    1. She had itchy erythematous papules & plaques, pus & yellowish crust, ulceration, irregular cord-like palpable thickenings, and palpable axillary lymph nodes
      1. Differential Diagnosis
        1. Leishmaniasis
          1. Epidemiology
            1. According to the Global Burden of Disease Study from 2015, the leishmaniases are the third most important vector-borne disease after malaria and dengue, with an estimated 1.4 million all-age disability-adjusted life years (a 3.8% increase between 2005 and 2015). The leishmaniases are endemic in more than 90 countries in the tropics, neotropics, and southern Europe. An estimated 0.7 to 1 million cases are diagnosed each year, with 20,000 to 30,000 deaths. According to the World Health Organization, over 1 billion people living in endemic areas are at risk of infection.
            2. Etiology & Life Cycle
              1. Leishmaniasis is a localized or systemic infectious disease, caused by the obligate intramacrophage protozoa of the genus Leishmania and transmitted to humans by the bite of infected female phlebotomine sand flies.
              2. Types
                1. Cutaneous Types: Localized cutaneous leishmaniasis, Diffuse cutaneous leishmaniasis, and Mucosal leishmaniasis (sometimes classified as a separate subtype on its own)
                  1. Visceral Types: Visceral leishmaniasis (also known as kala-azar), and Post-kala-azar dermal leishmaniasis (PKDL)
                2. Investigations
                  1. Management
                  2. Blastomycosis
                    1. Leprosy
                      1. Paracoccidioidomycosis
                        1. Sarcoidosis
                          1. Skin cancer
                            1. How to differentiate?
                          2. Types of skin lesions
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