AMERICAN CUTANEOUS LEISHMANIASIS

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Abstract
CUTANEOUS leishmaniasis is of special interest at this time because of its occurrence in troops stationed in endemic zones and because it must be considered in the differential diagnosis of the ulcerated cutaneous lesions seen so frequently in tropical areas. With the return and demobilization of soldiers, physicians should be especially alert for the presence or possible recurrence of such diseases acquired during tropical service. Two principal types of cutaneous leishmaniasis are described: (a) that seen in the Old World, called oriental sore or Delhi boil, and (b) that seen in the New World, called American leishmaniasis. Both types produce chronic granulomatous cutaneous lesions and are diagnosed by demonstrating Leishmania organisms in smears or histologic sections. The Delhi boil has usually been described as a relatively benign self-limited disease, of importance chiefly because of the scars produced on the face or other exposed parts of the body. On the other

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