LEISHMANIASIS RECIDIVA CUTIS
The clinical course of cutaneous leishmaniasis of the Eastern Hemisphere, which as a rule is distinguished by a great regularity, sometimes shows a deviation from the normal. The immunity which develops in the large majority of cases is not always present and is occasionally found disturbed, as in the instances in which chronic foci exist almost unchanged in the scars of leishmaniasis. These lesions either persist as sequelae of ordinary leishmaniasis or develop as new lesions in the old scars a variable time after healing. These "relapses," although they may not always be acknowledged, do occur unquestionably and have a sufficiently uniform character to warrant consideration as a distinct clinical entity.The initial efflorescences, which are also the only lesions, are round or oval papules, varying in size from that of a pinhead to that of a lentil; they lie, without a halo, in the skin, or
BERLIN C. LEISHMANIASIS RECIDIVA CUTIS; LEISHMANID. Arch Derm Syphilol. 1940;41(5):874–886. doi:10.1001/archderm.1940.01490110060008
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