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Diagnosis: Ecthyma
Description: Punched-out ulcer with purulent discharge.
Morphology: Ulcer
Site: Leg
Sex: F
Age: 46
Type: Clinical
Submitted By: Nameer Al-Sudany
Differential DiagnosisHistory:
Painful and tender regular rounded well-demarcated ulcer about 10 cm diameter with punched out border and purulent base of 2-3 weeks duration. It responded well to two weeks course of cephalexin 500 mg four times daily in addition to topical antiseptic solution.