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Infectious granulomatous processes may include those caused by bacteria (tuberculosis, actinomycosis, syphilis, leprosy), fungi (histoplasmosis, blastomycosis, paracoccidioidomycosis, sporotrichosis), and parasites (mucocutaneous leishmaniasis). Rhinoscleroma can also mimic various inflammatory and neoplastic processes, including leprosy, paracoccidioidomycosis, sarcoidosis, basal cell carcinoma, and Wegener granulomatosis. Rhinoscleroma should be added to the list of opportunistic infections that can occur in patients infected with the HIV. Hence, check the HIV status in this patient!

Stucco keratoses Actinic keratoses Arsenical keratoses Porokeratosis Acrokeratosis verruciformis Darier disease Perforating disorders Flat warts Hyperkeratosis lenticularis perstans

Tinea corporis Disseminated granuloma annulare Disseminated lichen planus Sarcoidosis Multiple cutaneous metastases

Lichen simplex chronicus Hailey-Hailey disease Tinea cruris Extramammary Paget's disease Secondary syphilis

syringomas sebaceous hyperplasia epidermoid cysts condyloma lichen planus bowenoid papulosis