71
Clinical24352140250202280357513591715855933
picture34372140250155233357450606731850
of43572140250139233
cutaneous4660214025012428037351366979393310891198
leishmaniosis5928214025080204281390546779919107411531293140214801589
At5238770164130180
the748877016449139219
site1013877016470120170250
of1308877016490150
leishmania1503877016450130181251341481560650700781
insertion5231093016450140210290350400451541631
into11991093016448138188279
the15231093016449139219
skin,17881093016470160210300345
a21781093016479
smooth,23021093016471210299389439529574
pink5231309016490140230320
papule,8881309016490170260350400480526
2-314581309016490150240
mm174313090164141280
in20671309016451142
size,22541309016470119199279324
appears.5231525016480170260340420480550595
It11641525016459109
quickly13171525016490180230310401451541
grows19031525016490150240369440
larger,23871525016450130191277357417455
sometimes5231741016470160300379429480620699770
resembling13381741016459139210290430519569619710800
a21831741016479
furuncle23071741016461151211301391471521601
(primary5231957016460150210260400480540630
leishmanioma).12001957016447127178248338478557647697788928100710681113
After52323890164130190240320380
1–29482389016490180270
weeks,126323890164130210290381451495
central18032389016480160251301361441491
necrosis23382389016490170250311401471520590
of5232605016490150
the7182605016450140220
leishmanioma98326050164501301802503404805596496997909301009
begins,20382605016491171261311401472517
followed5232821016460150200250341471550640
by12082821016490180
the14352821016447137217
formation16982821016459149209349428478529619709
of24522821016490150
a26472821016480
variable5233037016490170230280360451501581
ulcer11483037016490140220300360
with155230370164130180230320
copious19173037016481171261311402492562
serous-purulent523325301647015021030039046152061070076085090098010701120
discharge.16883253016491141211291381461521607687733
Multiple52336850164160250300350400491541621
small11893685016469209288338388
nodules16223685016491181271361411491562
often22283685016490150200280370
form5233901016460150210350
around9173901016480140230321411501
the14633901016449139219
primary17283901016489149199339419479569
leishmanioma,523411701645013018125134148156065070079193110101055
which162341170164130220270350440
ulcerate21084117016490140220301361440491571
and5234334016480170260
coalesce8284334016480170250301381451531611
to14844334016449139
form16684334016460150210350
ulcerated20624334016490140221301361441491572662
areas.5234550016480140220301371416