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Year : 2018  |  Volume : 38  |  Issue : 2  |  Page : 89-91

A case of hyperkeratotic cutaneous leishmaniasis on the hallux: an unusual presentation of American tegumentary leishmaniasis

1 Hospital Foundation of the State of Minas Gerais, FHEMIG, Belo Horizonte, MG, Brazil
2 Department of Dermatology, Jawaharlal Nehru Medical College (JNMC), Aligarh, Uttar Pradesh, India

Correspondence Address:
Sabha Mushtaq
Department of Dermatology, Jawaharlal Nehru Medical College (JNMC), Aligarh, Uttar Pradesh 202001
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ejdv.ejdv_12_18

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Cutaneous leishmaniasis (CL) is endemic in various parts of Brazil and is known for its clinical pleiomorphism in humans. Beyond the classical picture, CL may appear at unusual sites or with atypical morphologies which may elude the diagnosis at first instance. Herein, we report the case of a 48-year-old Brazilian male, who presented with a 2-year history of persistent hyperkeratotic plaque on the left hallux, which turned out to be cutaneous leishmaniasis. The wide variety of cutaneous findings and unusual presentations of CL often pose a diagnostic challenge especially for inexperienced physicians. The objective of this case report is to emphasize on the unpredictability of clinical expressions of CL and to apprise the clinicians of its masquerading potential.

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