Picture of Leishmaniasis
The cutaneous form of leishmaniasis is caused by a protozoan (Leishmania tropica) that is transmitted by the bite of a sandfly (of the genus Phlebotomus) in certain endemic regions (the Middle East, China, Africa, India, the former Soviet Union). The primary process in the skin starts as a macule of erythema, evolves into a papule as shown.
Source: Color Atlas of Pediatric Dermatology
Samuel Weinberg, Neil S. Prose, Leonard Kristal
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