Case 80

Medical history

A 20-year old previously healthy male patient, who was born and resides in a brazilian countryside town working as a bricklayer, presents with a single nodular skin lesion on the dorsal side of his right wrist. It was firstly noticed two months ago and has since evolved to a painless ulcer with raised edges and filled with granulation tissue. No lymph nodes enlargement, fever or any other constitutional symptoms are observed.

Based on the clinical data and photograph provided herein, which is the most likely diagnosis?

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