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Correspondence
October 2006

Leishmania major Cutaneous Leishmaniasis in HIV-Positive Patients Does Not Spread to Extralesional Sites

Arch Dermatol. 2006;142(10):1361-1375. doi:10.1001/archderm.142.10.1368

Visceral leishmaniasis is the most frequent clinical form associated with human immunodeficiency virus (HIV)/AIDS, and the Leishmania infantum species accounts for 98.5% of cases described in southwestern Europe.1 Cutaneous leishmaniasis (CL), either localized or diffuse (multiple nodules scattered over the whole cutaneous surface), is rarely reported in European HIV-infected patients and can be due to L infantum or Leishmania major.1 The spread of AIDS into L major–endemic areas raises the issue of visceralization with Leishmania-induced extracutaneous signs and symptoms as observed with L infantum infections.

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