title: Two small yellowish papules in a 1 year-old boy: cutaneous leishmaniasis.
abstract: Cutaneous leishma iasis (CL) is zoonosis with a spectrum of cutaneous manifestations caused by protozoan parasites of thegenus Leishmania.Manifestation varies according to the parasite virulence and the host immune response. Pentavalent antimonials (sodium stibogluconate and meglumine antimoniate) have been used as a first-line therapy for the last 70 years around the world.We report a case of a 1-year-old boy with two small yellowish papules mimicking juvenile xantogranuloma diagnosed with cutaneous leishmaniasis after a biopsy. Patient underwent treatment with 2 sessions of intralesional (IL) meglumine antimoniate (Glucantime®) with complete clearance of both lesions.
  
  
  CONCLUSIONS
  Cutaneous leishmaniasis treatment is difficult to standardize; treatment options in children include wound careand watchful waiting,  intralesional pentavalent antimonials, topical paramomycin, or oral miltefosine.
authors.affiliation: Hospital Universitario Infantil Niño Jesús; Madrid. luceronoguera@hotmail.com.
authors.forename: Lucero
authors.initials: L
authors.lastname: Noguera-Morel
authors.forename: Daniel
authors.initials: D
authors.lastname: Azorin
authors.forename: Georgios
authors.initials: G
authors.lastname: Xirotagaros
mesh_terms: D000981:Antiprotozoal Agents / Q000627:therapeutic use; D005148:Facial Dermatoses / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D007223:Infant; D015552:Injections, Intralesional; D016773:Leishmaniasis, Cutaneous / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology*; D008297:Male; D008536:Meglumine / Q000627:therapeutic use; D000077485:Meglumine Antimoniate; D009942:Organometallic Compounds / Q000627:therapeutic use; D012867:Skin / Q000473:pathology
chemical_list: D000981:Antiprotozoal Agents; D009942:Organometallic Compounds; D008536:Meglumine; D000077485:Meglumine Antimoniate