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Check your area whether is it endemic.

Symptoms

- Initially Reddish induration

- With time develop a skin nodule

- Later Volcano shaped ulcer

- More later Disappear volcano shape & more extensive ulcer widely spread

Pain is mild only tend to later stage.

But its Never go for Itching & irritation which is the most cause for the miss the lesions by the doctor.

Medical advises must be wish soon as possible to prevent spread visceral organs which is difficult to treat. { but doesn't mean can't, it can. ]

Treatments should be to each lesions

Injection or Cryotherapy

Cryotherapy - result to poor cosmetic results

it can be cured completely with only proper treatments

it can be spread from infected person, when bitten by sand fly which is the vector

Mucocutaneous form is most worst

Jayanika Dilshan [ MBBS - Sri Lanka ]

Faculty of Medicine

University of Rajarata , Sri lanka

jayanikadilshan@live.com

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