(BMJ)—A 46-yo woman w/ facial disfigurement x6mo that led to social isolation sought medical attention when she developed lethargy. Exam: “leonine-like” facies. Labs: WBC = 20×109/L, Hgb = 6.8 g/dL, plt = 79×109/L. Facial changes resolved w/ tx. What is the dx?
Lepromatous leprosy
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Leishmaniasis
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Leukemia cutis
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Cutaneous lymphoma
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Systemic amyloidosis
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