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February 1987

Cutaneous Horn Arising in Cutaneous Leishmaniasis

Author Affiliations

Department of Dermatology; Department of Pathology Ichilov Medical Center 6 Weizman St Tel Aviv, Israel

Arch Dermatol. 1987;123(2):168-169. doi:10.1001/archderm.1987.01660260036010

To the Editor.—  Cutaneous horns have been observed in a broad list of skin conditions. In most cases, the lesions originate from epidermal cells, and many of them have a premalignant or malignant base. Bart et al1 described many of these keratotic lesions: actinic keratosis, seborrheic keratosis, Bowen's disease, basal cell carcinoma, etc. Recently, Dabski and Stoll2 described a case of a gigantic cutaneous horn, arising in chronic discoid lupus erythematosus of the nose. We present another case of a cutaneous horn, arising within a cutaneous leishmaniasis lesion.

Report of a Case.—  A 31-year-old man developed skin lesions on his right elbow, left leg, and left lower lip, about six months after visiting the Dead Sea area near Jericho. The lesions were ulcerative and measured 1 to 4 cm in diameter. A smear from one of the lesions revealed Leishman-Donovan bodies. Two months prior to examination, a

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