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Tropical dermatology: Tropical diseases caused by protozoa
Omar Lupi, MD, PhD, Brenda L. Bartlett, MD, Reshma Nair Haugen, MD, Lady C. Dy, MD, Aisha Sethi, MD, Sidney N. Klaus, MD, Jackson Machado Pinto, MD, PhD, Francisco Bravo, MD, Stephen K. Tyring, MD, PhD Journal of the American Academy of Dermatology Volume 60, Issue 6, Pages (June 2009) DOI: /j.jaad Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 1 Leishmaniasis life cycle. (Figure used with the permission of the CDC/DPDx.) Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 2 Cutaneous leishmaniasis: nodule.
Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 3 A, Chiclero ulcer. B, Cutaneous leishmaniasis: impetigo-like and ecthyma-like lesions (Bauru ulcers). Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 4 Cutaneous leishmaniasis: papulotuberous lesion.
Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 5 Lymphatic spread of cutaneous leishmaniasis.
Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 6 Leishmaniasis. Typical scar characterized by thin and pale skin over the ulcer site and surrounded by a hyperpigmented halo. Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 7 Lupus-like and impetigo-like lesions of leishmaniasis.
Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 8 Mucosal leishmaniasis: late destruction of nasal septum.
Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 9 Leishmaniasis: destruction of glans penis by granulomatous squamous cell carcinoma–like lesion. Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 10 Giemsa-stained tissue smears showing promastigotes (arrows). Notice the kinetoplasts which are the smaller round structures adjacent to the nuclei of the promastigotes. (Giemsa stain; original magnification: ×250.) Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 11 Promastigotes inside macrophages in hematoxylin–eosin-stained tissue section. (Original magnification: ×100.) Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 12 A, Perianal ulcer of cutaneous amebiasis caused by Entamoeba histolytica in a male after having oral-anal sexual relations with an immigrant from Mexico. B, Two weeks posttreatment with oral metronidazole. Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 13 Biopsy from perianal ulcer exhibiting amebas in the tissue. (Hematoxylin–eosin stain; original magnification: ×40.) Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 14 Cutaneous amebiasis. Typical plaque on central face in an adult. Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 15 Amebiasis. Trophozoite in the skin biopsy, showing nucleus and nucleolus. The organism is surrounded by multinucleated giant cells. (Hematoxylin–eosin stain; original magnification: ×1000.) Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 16 “Barbeiro” bug (Triatoma infestans; courtesy of M. M. O. Cabral, MD, Instituto Oswaldo Cruz/Oswaldo Cruz Foundation). Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 17 Romaña sign. Acute Chagas disease in a young girl with Romaña sign present in the left eye. Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 18 Congenital toxoplasmosis. Hemorrhagic lesions on the trunk.
Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 19 Cutaneous toxoplasmosis. Trophozoites are seen within the cytoplasm of macrophages (Giemsa stain; original magnification: ×250.) Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 20 Cutaneous pneumocystosis. Skin-colored nontender papule on the arm. Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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Fig 21 Typical cysts of Pneumocystis jiroveci (Grocott methenamine silver stain; original magnification: ×250.) Journal of the American Academy of Dermatology , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions
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