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follow up on papalomoyo
I'm back from Las Penitas, Costa Rica, in the S.W. tip on the country, where I met a Costa Rican Dr. there (from San Jose) who cleared some things up for me. Papalomoyo and cutaneous Leishmans are the same entity. The lesions of that region typically go untreated and heal spontaneously, usually with some scaring due to secondary infection. There does not appear to be a standard treatment protocol. I did not see any lesions on this trip as I did last year. The locals in this region seemed a bit more savvy on field hygeine and the like. I know this is an obscure topic but I thought it may be of interest.
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