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Letter to the Editor
Epidermoid carcinoma arising in an ocular leishmania lesion
  1. SUZANA MATAYOSHI,
  2. CHRISTIANE BADDINI-CARAMELLI,
  3. MAURO GOLDBAUM,
  4. LEDA MINE TAKEI,
  5. MICHEL HONDA,
  6. NEWTON KARA-JOSÉ
  1. Department of Ophthalmology of the University of São Paulo School of Medicine, São Paulo, Brazil
  1. Dr Suzana Matayoshi, R Bergamota, 470 CEP: 05468-000, São Paulo, Brazil smillie{at}usp.br

https://doi.org/10.1136/bjo.84.11.1318n

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    Editor,—American tegumentary leishmaniasis is an endemic disease occurring in Latin America, especially in Brazil.1 The agent is the protozoanLeishmania, transmitted by sand flies.Leishmania v braziliensis causes the mucocutaneous form of the disease, in which systemic dissemination to mucous membranes follows the primary ulcerative skin lesion.

    We report a patient with nasal and conjunctival mucous leishmaniasis who developed an epidermoid carcinoma in the orbit.

    CASE REPORT

    A 58 year old man presented with a painless conjunctival mass of 2 months' duration. He reported nasal and mouth wounds and nasal flattening for 3 years and had a depressed scar in his right leg caused by an ulcer that developed 6 years before. He had been treated with N-methyl glucamine antimoniate 2 years before and underwent nasal reconstruction 1 year later. The patient had been a smoker and an alcoholic for 30 years and lived in …

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