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A 58-year-old otherwise healthy man, who lived his entire life in a rural place of Colombia working as a farmer, presented with a 5-year history of diffuse skin infiltration, multiple nodular lesions that coalesced into plaques, especially on the forehead, ears, cheeks and arms (figure 1A,B), associated with incomplete anaesthesia of the face, 6 kg weight loss, asthenia, adynamia, subjective fever, osteoarticular pain and progressive right fallen foot. Physical examination was notable for an afebrile and stable condition, with xerodermia, hypohidrosis, partial madarosis of the lower eyelashes, …
Contributors Both authors contributed equally to the elaboration of the paper.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.