ATYPICAL CUTANEOUS HISTOLOGICAL FEATURES OF VISCERAL LEISHMANIASIS INACQUIRED-IMMUNODEFICIENCY-SYNDROME

Cutaneous lesions in Mediterranean visceral leishmaniasis (VL) are ver y unusual, except for the presence of Leishmania organisms in cutaneou s Kaposi's sarcoma in patients with acquired immunodeficiency syndrome (AIDS). We have identified two unusual cutaneous histological feature s of VL in three patients with AIDS not described previously: two had ''silent leishmaniasis,'' and in the third, Leishmania organisms were present in sweat ducts, suggesting transepithelial elimination through eccrine sweat glands and/or eccrine epithelial tropism.