Snapshot A 38-year-old recent immigrant from Brazil comes into the clinic with a 4-month history of painless, ulcerated plaques on his left arm. He denies fever, fatigue, or weight loss. Physical exam revealed ulcers of varying sizes on the left arm, covered with a yellow-white fibrinous material. There are no mucosal lesions, pallor, lymphadenopathy, or hepatosplenomegaly. A complete blood count and liver function test were within normal limits. HIV serology, AFB for lepra bacilli, and serum VDRL were all negative. Histopathological exam of a skin biopsy showed amastigotes inside histiocytes and inflammatory cells. (Cutaneous leishmaniasis) Introduction Definition login to view 1 more bullet Diseases login to view 3 more bullets Epidemiology Incidence login to view 1 more bullet ETIOLOGY Pathogenesis login to view 7 more bullets Presentation Symptoms login to view 16 more bullets Studies Cutaneous leishmaniasis login to view 5 more bullets Visceral leishmaniasis login to view 5 more bullets Differential Lepromatous leprosy login to view 3 more bullets Treatment Conservative login to view 3 more bullets Medical login to view 3 more bullets Complications Complications from pancytopenia login to view 8 more bullets Prognosis Cutaneous leishmaniasis login to view 1 more bullet Visceral leishmaniasis login to view 2 more bullets Co-infection with HIV leads to a severe and rapidly progressive fatal outcome