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SAGE Open Med Case Rep. 2020 Feb 7;8:2050313X20904593. doi: 10.1177/2050313X20904593. eCollection 2020.

Cutaneous leishmaniasis in a 65-year-old North Texas male, treated with cryotherapy: A case report.

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Dermatology Program, Medical City Weatherford, Weatherford, TX, USA.
Dermpath Diagnostics Texas, Arlington, TX, USA.


We report a case of a 65-year-old male seen in a North Texas dermatology clinic with three erythematous nodules possessing central ulceration and scaling on the left lateral shoulder, present for months. Head, ears, lips, oral mucosa, and other body surfaces did not reveal similar lesions, and review of systems was negative. Shave biopsy was performed and histopathological findings demonstrated granulomatous inflammation in the dermis and parasitized histiocytes containing peripherally located amastigotes. Leishmaniasis was diagnosed and patient was educated on the disease while communication with the Centers for Disease Control and Prevention was initiated. The patient declined systemic medications from infectious disease specialists and, 3 weeks later, returned for follow-up treatment with cryotherapy.


Leishmania; Texas; cryotherapy; cutaneous leishmaniasis

Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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