PMC3227237_01
A well-delimited atrophic scar in the left thigh measuring 30 x 20 mm.
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fig1
There was also a well-defined atrophic scar in the left thigh, measuring 30 x 20 mm (Figure 1).
Cutaneous round ulcer with raised borders measuring 26 x 24 mm in the forearm where the Montenegro skin test was performed.
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fig2
Eight days after the skin test, while the folliculitis in the right leg disappeared, a cutaneous round ulcer with raised borders measuring 26 x 24 mm, typical of leishmaniasis, was observed in the site where the LST was administered (Figure 2).
Hematoxylin-eosin staining of biopsy. (a) Edema and chronic inflammation in the papillary dermis (10x). (b) Granuloma in the dermis (10x). (c) Immunohistochemistry staining of L. braziliensis amastigotes ((100x) arrow).
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fig3
The histopathological analysis (Figure 3) showed chronic perivascular inflammation with granuloma formation and the presence of neutrophils, lymphocyte, monocyte, and plasma cells.
Scar in the forearm 40 days after the initiation of therapy.
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fig4
The ulcerated lesion in the left forearm was completely healed 40 days after the initiation of therapy (Figure 4).