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The differential diagnosis should include squamous cell carcinoma, hematological malignancies, tuberculosis, other deep fungal infections, oral lesions seen in Crohn's disease, necrotizing sialometaplasia of the palate, and chronic traumatic ulcers.21,22 Mucocutaneous leishmaniasis Mucosal involvement is relatively rare and results from the hematogenous or lymphatic spread of amastigotes from the skin to the nasal, oropharyngeal, laryngeal, or tracheal mucosa.23 When it affects the oral mucosa, the disease becomes destructive or ulcerovegetative and granulomatous, accompanied by coarse granules and deep grooves normally associated with painful symptoms, deglutition difficulties, sialorrhea, fetid odor, and bleeding

Pervitin (in German), Berlin: CHEMIE.DE Information Service GmbH, archived from the original on 18 December 2019, retrieved 16 September 2015 Pharmacology and Abuse of Cocaine, Amphetamines, Ecstasy and Related Designer Drugs