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A Case for Diagnosis (Cutaneous Leishmaniasis?). Presented by Dr. E. M. Smith Jr.
T. T., a white woman aged 43, complains of multiple chronic ulcers of the skin. While in Florida in March 1937 she noticed a tiny hole in the skin, with a slight discharge. Several more of these sinuses appeared but never with an acute inflammatory reaction. In June her physician cauterized the area with actual cautery, but the discharging sinus persisted and a new one appeared 2 inches (5 cm.) from the original one. Repeated attempts at excision of the area have resulted only in a spread of the process. The patient was seen in the clinic of St. Luke's Hospital in February 1938, at which time she had several large ulcers on the back, which did not seem deep and had little inflammatory reaction around them. The skin was undermined for a distance of about half
Schmidt FR, Caro MR. CHICAGO DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1946;54(5):616–628. doi:10.1001/archderm.1946.01510400122019
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