PMC9637879_01
A) Erythematous and papular plaque on the right hand, B) Giemsa stained smear showing Leishmania amastigote forms.
gr1.jpg
PMC9637879_01_gr1.jpg
fig0005
After being referred to our institution, the patient presented limited erythematous-papular plaque of 8 cm of diameter, located on the dorsal side of the right hand, the lesion was formed by the confluence of several papules (Fig. 1), with satellite lesions on the periphery, the initial plaque was associated with several firm and painless subcutaneous nodules 0.5-1.5 in diameter, following a lymphatic drainage to the elbow joint (Fig. 2).
Subcutaneous nodules in the lower and upper third of forearm.
gr2.jpg
PMC9637879_01_gr2.jpg
fig0010
After being referred to our institution, the patient presented limited erythematous-papular plaque of 8 cm of diameter, located on the dorsal side of the right hand, the lesion was formed by the confluence of several papules (Fig. 1), with satellite lesions on the periphery, the initial plaque was associated with several firm and painless subcutaneous nodules 0.5-1.5 in diameter, following a lymphatic drainage to the elbow joint (Fig. 2).
Improvement of lesions after 10 days of Glucantime treatment.
gr3.jpg
PMC9637879_01_gr3.jpg
fig0015