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Disseminated Cutaneous Leishmaniasis (Tropica). Presented by Ben A. Newman, MD, and by invitation Leo M. POMERANTZ, MD.
A 29-year-old male Israeli has been a temporary resident student in the United States for the past four months. During the recent "Middle East six-day war," he noted the development of multiple pruritic lesions that he thought were mosquito bites. Through scratching, several of these lesions became infected. Treatment has been the application of zinc sulfate lotion. Many lesions continued to increase in size, but there were no constitutional symptoms.His general health has been good, though he had acne and furuncles as a teen-ager.There is no history in his family of diabetes, tuberculosis, or blood dyscrasia.On examination there are multiple (25 to 30) 1-3 cm bright pink and red, raised, scaling and crusting nodules involving the face, nape of the neck, arms, wrists, and lower legs. Several lesions are verrucous
Carney JW, Williamson C, Storkan MA, MacDonald G. THE LOS ANGELES DERMATOLOGICAL SOCIETY. Arch Dermatol. 1968;98(1):105-106. doi:10.1001/archderm.1968.01610130111024