UNUSUAL LOCATION OF INITIAL LESION
The initial lesions of American leishmaniasis occur generally on exposed surfaces and may be found on the face, ears, forearms and legs, in order of frequency. Lesions on the covered parts of the body are less frequent but may be encountered in rural laborers, who work naked from the waist up or wear thin clothes. In my case, two typical lesions of leishmaniasis were observed on the upper part of the back.
J. D. F., aged 24, a white Brazilian farmer residing at Mesquita (state of Minas Geraes), stated that three months ago there appeared in the middle of the right side of the back two small itchy papules which later ulcerated and assumed their present aspect. On dermatologic examination, two small ulcers were seen in the middle of the right side of the back. One of these was small and the other
COSTA OG. AMERICAN (MUCOCUTANEOUS) LEISHMANIASIS: OBSERVATIONS. Arch Derm Syphilol. 1944;49(3):194–196. doi:10.1001/archderm.1944.01510090040009
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