TY - JOUR T1 - Exuberant case of verrucous cutaneous leishmaniasis JO - Anais Brasileiros de Dermatologia T2 - AU - Novaes,Jana Regis AU - Daltro,Luise Ribeiro AU - Ferreira,Thiago Amparo AU - Machado,Paulo Roberto Lima SN - 03650596 M3 - 10.1016/j.abd.2020.11.011 DO - 10.1016/j.abd.2020.11.011 UR - http://www.anaisdedermatologia.org.br/en-exuberant-case-verrucous-cutaneous-leishmaniasis-articulo-S0365059621002609 AB - Cutaneous leishmaniasis represents a public health problem that affects 85 countries. It is an endemic disease in Brazil, having an important socioeconomic impact. An exuberant case of cutaneous leishmaniasis is reported herein. A 28-year-old male patient with Down syndrome had had verrucous plaques on the back for over a year, with progressive growth. PCR of a lesion sample was positive for Leishmania braziliensis. The patient's condition was classified as atypical cutaneous leishmaniasis. He was successfully treated with amphotericin B and miltefosine. The treatment remains a challenge, given the toxicity and low cure rate of the currently recommended drugs. ER -