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June 1941


Arch Derm Syphilol. 1941;43(6):1033-1048. doi:10.1001/archderm.1941.01490240113020

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Oriental Sore. Presented by Dr. J. Gardner Hopkins.  J. J., a girl aged 5 years, child of American parents, left Teheran, a province of Persia, in June and passed through Delhi, India, on the way to the United States. Leishmaniasis, known locally as "salek," meaning "a little year," is prevalent in Teheran, and there were sand flies about at the time she left. Two months later a painless red nodule developed in the center of her left cheek. It has grown slowly and now shows a dusky red disk measuring 1 cm. in diameter, scarcely raised and covered with intact epidermis. Beneath is a hard mass somewhat larger than the red area.Examination of material obtained by puncture showed numerous typical leishmania bodies, all extracellular.

DISCUSSION  Dr. Howard Fox: I have previously reported on 2 patients (New York M. J.116:365, 1922) with oriental sore who had come from

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