What are the clinical manifestations of leishmaniasis recidivans?

Updated: Feb 18, 2020
  • Author: Craig G Stark, MD, FACP, FFTM, RCPS(Glasg), FISTM; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Answer

Leishmaniasis recidivans may occur years after a localized cutaneous lesion has healed, commonly presenting on the face (see the following image). New ulcers and papules form over the edge of the old scar and proceed inward to form a psoriasiform lesion. Infection may be from reactivation of dormant parasites or new infection from a different species. Skin trauma can result in activation of seemingly latent cutaneous infection long after the initial bite. The infections tend to be resistant to treatment.

Leishmaniasis recidivans. Courtesy of Kenneth F. W Leishmaniasis recidivans. Courtesy of Kenneth F. Wagner, MD.

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