Nonhealing skin lesions in a sailor and a journalist returning from Iraq

Emil P. Lesho*, Ronald Neafie, Glenn Wortmann, Naomi Aronson

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


US health care providers who are not familiar with cutaneous leishmaniasis may now begin to encounter more patients with this challenging entity as military personnel return from rotations in Iraq or Afghanistan. Diagnosis requires a skin scraping, aspiration, or biopsy, followed by examination by an experienced microscopist or pathologist. Demonstration of the parasite DNA by PCR or culture in special media can also be used to confirm the diagnosis. Sodium stibogluconate is the mainstay of therapy, but other options for selected cases include topical thermal or cryotherapy treatment and oral triazole compounds. Assistance is available through the CDC and, for Department of Defense beneficiaries, certain military facilities.

Original languageEnglish
Pages (from-to)93-106
Number of pages14
JournalCleveland Clinic Journal of Medicine
Issue number2
StatePublished - Feb 2005
Externally publishedYes


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