LAUSR

FIGURE 1: Ulcerated lesion with necrosis and bone exposure. A 73-year-old male rural worker from the Brazilian Amazon region presented with a 4-year left facial ulceration, which became painful as it increased in size. Physical examination revealed a deep 8-cm ulcer in the left malar and periorbital regions, associated with necrosis and purulent exudation (Figure 1). Skull computed tomography showed an osteolytic and infiltrative lesion in the malar and frontal regions (Figure 2).