Characteristic lesion. Round or oval ulcer 2 to 6 cm in diameter, with raised edges, cording, infiltrates, and crateriform center with granulation tissue, in addition to peripheral infiltration and erythema. Frequently located on hands and forearms, from their exposure to bites.
From: Maia-Elkhoury ANS, Hernández CA, Ovalle-Bracho C, et al. Interactive Atlas of Leishmaniasis in the Americas: Clinical Aspects and Differential Diagnosis, Pan American Health Organization 2020.
https://iris.paho.org/handle/10665.2/53166 (Accessed on June 18, 2024). Reproduced with permission from Jaime Soto, MD.
