Anais Brasileiros de Dermatologia (Jul 2021)

Plantar ulcer as an atypical manifestation of cutaneous leishmaniasis

  • Fernanda de Carvalho Tironi,
  • Gustavo Uzeda Machado,
  • Sergio Marcos Arruda,
  • Paulo Roberto Lima Machado

DOI
https://doi.org/10.1016/j.abd.2020.06.015
Journal volume & issue
Vol. 96, no. 3
pp. 352 – 354

Abstract

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Abstract Cutaneous leishmaniasis is characterized by ulcers with raised edges and a granular bottom, mainly on the lower limbs. This is a case report of a male patient with an ulcer on the left plantar region. The diagnosis was confirmed by positive PCR for L. braziliensis and the presence of amastigotes of Leishmania sp. in the histopathological examination. After treatment with Glucantime, the patient showed full healing of the ulcer. The unusual location of the ulceration calls attention to atypical presentations of leishmaniasis, and the importance of histopathological examination and PCR, leading to the appropriate diagnosis and treatment.

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