Cutaneous Leishmaniasis. Presented by Dr. Frederick J. Szymanski.
A 35-year-old white man has been troubled with an ulcer on the anterior surface of the left leg since November of 1960. The patient is a geologist, and the condition developed while he was working in southern Arabia. Apparently a minor injury to the left shin was responsible for the original lesion, and despite therapy with local antiseptics it grew larger. Now it is 1½ in. wide and 3 in. long and has no specific morphologic features. A few months later he noticed a small erosion about 3 mm. in diameter on the right ala nasi.The patient was sent to Paris, France, where the leg ulcer was covered by skin grafts on 3 different occasions, but each of these failed to heal properly. The patient then returned to the United States for further surgical repair, but a biopsy performed on the
Szymanski FJ, Malkinson FD. CHICAGO DERMATOLOGICAL SOCIETY. Arch Dermatol. 1962;85(4):550–559. doi:10.1001/archderm.1962.01590040114030
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