title: Nonhealing skin lesions in a sailor and a journalist returning from Iraq.
abstract: 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.
authors.affiliation: Walter Reed Army Medical Center, Washington, DC, USA.
authors.forename: Emil P
authors.initials: EP
authors.lastname: Lesho
authors.forename: Glenn
authors.initials: G
authors.lastname: Wortmann
authors.forename: Ronald
authors.initials: R
authors.lastname: Neafie
authors.forename: Naomi
authors.initials: N
authors.lastname: Aronson
mesh_terms: D000328:Adult; D000965:Antimony / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007493:Iraq; D020452:Journalism; D016773:Leishmaniasis, Cutaneous / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D008297:Male; D008887:Military Medicine; D008889:Military Personnel; D012008:Recurrence; D014857:Warfare
chemical_list: D000965:Antimony