December iotaderma (#191)

December iotaderma (#191)

IOTADERMA #192 What is ‘‘angina bullosa hemorrhagica,’’ and where does it occur? Robert I. Rudolph, MD, FACP Answer will appear in the JAAD Online sec...

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IOTADERMA #192 What is ‘‘angina bullosa hemorrhagica,’’ and where does it occur? Robert I. Rudolph, MD, FACP Answer will appear in the JAAD Online section of the February 2010 issue of the Journal.

DECEMBER IOTADERMA (#191) What is a ‘‘Biskra boil,’’ and what is unique about it? Answer: A ‘‘Biskra boil’’ is the primary lesion of Old World leishmaniasis, and is also known as a Balkh, Aleppo, or Baghdad boil. This ancient condition is the only disease entity (as far as this author can determine) that has been associated with, and known by, the names of 4 different cities. It can resolve with scarring without treatment, or can be treated with a variety of therapies, including antimonials. It is endemic in many parts of the world, and American service personnel involved in Iraq and Middle Eastern theaters are now returning home with this disease. REFERENCES Reithinger R, Dujardin JC, Louzir H, Pirmez C, Alexander B, Brooker S. Cutaneous leishmaniasis. Lancet Infect Dis 2007;7:581-96. Sharma NL, Mahajan VK, Kanga A, Sood A, Katoch VM, Mauricio I, et al. Localized cutaneous leishmaniasis due to Leishmania donovani and Leishmania tropica: preliminary findings of the study of 161 new cases from a new endemic focus in himachal pradesh, India. Am J Trop Med Hyg 2005;72:819-24.

Robert I. Rudolph, MD, FACP

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