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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

It has a boxed warning for: Risk of thyroid C-cell tumors (seen in rats) Human risk is unknown, but monitor for thyroid symptoms.[accessdata.fda] Should I Keep Track of My Progress

What to Expect During Your Visit What to Expect From Your Treatment Journey Pre-Treatment Eat before appointment