Volume 90, Issue 4
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



A 45-year-old otherwise healthy male from an endemic region for infection in Bahia, Brazil, presented with three erosive hemorrhagic infiltrated plaques on the left shin accompanied with lymphadenopathy in the groin since one month ( Figure 1 ). A skin test performed on the left forearm was strongly positive (20 × 18 mm). Two days later, the patient felt sick and feverish. Painful erythematous target lesions developed on the palms and scapula together with conjunctivitis ( Figure 2 ). Histopathology confirmed erythema exsudativum multiforme (EEM) ( Figure 3 ). Both EEM and cutaneous leishmaniasis were successfully treated with a 5-day course of prednisone 20 mg, and a 20-day course of intravenous pentavalent antimony, respectively.

[open-access] This is an Open Access article distributed under the terms of the American Society of Tropical Medicine and Hygiene's Re-use License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


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  • Received : 28 Mar 2013
  • Accepted : 05 Aug 2013
  • Published online : 02 Apr 2014
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