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Tropical/Infectoparasitary Dermatology • An. Bras. Dermatol. 96 (3) • May-Jun 2021 • https://doi.org/10.1016/j.abd.2020.06.015   copy

Plantar ulcer as an atypical manifestation of cutaneous leishmaniasis☆☆ ☆☆ Study conducted at the Immunology Service, Hospital Univer-sitário Professor Edgard Santos, Salvador, BA, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

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.

KEYWORDS
Cutaneous leishmaniasis; Leishmaniasis; Plantar ulcer; Ulcer

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