PMC9922052_01
multiple hypo and hyper pigmented macular and maculopapular non-scaly skin lesions present all over the body, mostly on the back and abdomen (yellow arrow)
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FIG1
Lesions were a few millimeters (0.3-0.7 mm) (those hypo-pigmented) to a few centimeters (1-3 cm) (those hyper-pigmented) in diameter (Fig 1), and sensation over the lesions was intact.
Liver biopsy shows presence of Leismania donovani (LD) bodies in macrophage (yellow arrow)
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PMC9922052_01_cureus-0015-00000033701-i02.jpg
FIG2
A liver biopsy in another tertiary hospital showed the presence of LD bodies without any evidence of liver fibrosis (fig 2).