PMC5871391_01
A: Erythematous-infiltrated plaque with scaling and central
serohematic crust, measuring approximately 3.0 x 1.5cm on the dorsum of the
right foot B: Erythematous-infiltrated plaque of approximately
1.5 cm in the right elbow
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f1
Map of part of the city of Belem, Para. A: Val-de-Cans
neighborhood; B: Parque Verde neighborhood.
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f2
These neighborhoods are close to each other and they both show forest fragments (Figure 2).
A: Hyperplastic epidermis with orthokeratosis,
hypergranulosis, irregular acanthosis, and spongiosis on the dermis with
moderate inflammatory infiltrate formed by lymphocytes, histiocytes, rare
plasmocytes, and eosinophils (Hematoxylin & eosin, X4) B:
Leishmania inside macrophages (Hematoxylin & eosin, X40)
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f3
We observed presence of structures similar to leishmanias in the infiltrate and inside macrophages (Figure 3).