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*Bolivia, Brazil, Peru
→mucocutaneous leishmania
==mucocutaneous leishmania==
*only in new world CL
**Bolivia, Brazil, Peru
*same as Espundia, white leprosy
*lyphatic or hematogenous dissemination to mucosa in mouth and/or upper respiratory tract, resulted in destruction and deformity of nose, palate, pharynx
*''L. braziliensis'', ''L. panamensis''
*progressive ever without treatment
*secondary bacterial infection
*worsening nasal congestion, epistaxis or discharge common
*permanent disfigurement of face
**cleft palate, nasal septum destruction, "Tapir" nose
===diagnosis of mucocutaneous leishmaniasis===
