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Cutaneous leishmaniasis is endemic in certain areas of the Soviet Union. The Russian physicians working there have the opportunity to study a great number of cases of this disease and make valuable observations. Some of these have been presented by Kozhevnikov in his pamphlet.
He describes two forms of cutaneous leishmaniasis: one with slow course and late ulceration and one with rapid course and early ulceration.
The first form is common in cities. Its incubation period is long, from three to twelve months. It begins as a roundish, somewhat elevated nodule, 3 to 5 mm. in diameter, with a smooth and shiny surface. In two to three months it becomes scaly or crusted. There is neither itching nor pain. In the third or fourth month the ulceration begins. The ulcer is first covered with a crust, which later falls off; there are then revealed a grayish or reddish base, elevated
Kozhniy leishmanioz (Cutaneous Leishmaniasis). Arch Derm Syphilol. 1943;48(4):476–477. doi:10.1001/archderm.1943.01510040120021
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