13th June 2024

A 55-year-old lady presents to the GP assessment unit with a 6-month history of a skin lesion on her forearm

A 55-year-old lady presents to the GP assessment unit with a 6-month history of a skin lesion on her forearm. It has raised edges with central depression and scab. She has also noticed a soft tissue lesion on her hard palate in the last month. She is known to have diabetes mellitus, bronchiectasis, chronic liver disease and severe combined immunodeficiency. She has a travel history to Mediterranean countries. Biopsy from the skin lesion shows amastigotes. What is the most appropriate treatment?

Select the SINGLE most appropriate option from the list below. Select ONE option only.