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April 1993

Cutaneous Leishmaniasis Treated With Controlled Localized Heating

Author Affiliations

Department of Dermatology Hôpital Cantonal Universitaire 1211 Genève 14, Switzerland

Arch Dermatol. 1993;129(4):510. doi:10.1001/archderm.1993.01680250126022

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