Multilesional cutaneous leishmaniasis

Abstract

A 27-year-old healthy woman presented to the medical centre with a one-month history of widespread skin lesions with slow clinical progression. The lesions appeared on her thighs, shins, lower abdomen and left arm three weeks after she had travelled to an area endemic for Leishmania major in southern Israel. The lesions comprised violaceous tender nodules (0.5-1 cm in diameter) with central ulceration and crust (Figure 1). A skin smear showed Leishmania amastigotes (Appendix 1, available at