To the Editor.—
I read with interest the "Cutting Edge" article by Levine1 on the treatment of cutaneous leishmaniasis with localized heating. I wonder if the author considered the possible effect of hydrocolloid dressing in the improvement observed, as such a dressing was used over all of the lesions after heating. I recently observed complete remission of cutaneous leishmaniasis on the cheek of a young girl after the application of ketoconazole cream under hydrocolloid dressing; the latter was chosen to improve the penetration of ketoconazole, as there was no erosion of the epidermis. The result was so dramatic that I doubted that it could be due only to ketoconazole therapy (hydrocolloid dressing should also increase the temperature in leishmaniasis lesions). I would be pleased to share this experience with others, as the treatment of cutaneous leishmaniasis on the face of children is rather difficult.The CORRESPONDENCE department of the
Saurat J. Cutaneous Leishmaniasis Treated With Controlled Localized Heating. Arch Dermatol. 1993;129(4):510. doi:10.1001/archderm.1993.01680250126022
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