case_images: PMC3227237_01
case_images: A well-delimited atrophic scar in the left thigh measuring 30 x 20 mm.
case_images: CRIM2011-631079.001.jpg
case_images: PMC3227237_01_CRIM2011-631079.001.jpg
case_images: fig1
case_images: There was also a well-defined atrophic scar in the left thigh, measuring 30 x 20 mm (Figure 1).
case_images: Cutaneous round ulcer with raised borders measuring 26 x 24 mm in the forearm where the Montenegro skin test was performed.
case_images: CRIM2011-631079.002.jpg
case_images: PMC3227237_01_CRIM2011-631079.002.jpg
case_images: fig2
case_images: 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).
case_images: 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).
case_images: CRIM2011-631079.003.jpg
case_images: PMC3227237_01_CRIM2011-631079.003.jpg
case_images: fig3
case_images: The histopathological analysis (Figure 3) showed chronic perivascular inflammation with granuloma formation and the presence of neutrophils, lymphocyte, monocyte, and plasma cells.
case_images: Scar in the forearm 40 days after the initiation of therapy.
case_images: CRIM2011-631079.004.jpg
case_images: PMC3227237_01_CRIM2011-631079.004.jpg
case_images: fig4
case_images: The ulcerated lesion in the left forearm was completely healed 40 days after the initiation of therapy (Figure 4).