Cutaneous leishmaniasis (oriental sore) of the eyelid.

A 45-year-old American residing along the basin of the Mediterranean Sea developed a cutaneous lesion involving his right lower eyelid. He returned to the United States several months after it first appeared and sought treatment. On clinical examination the lesion was regarded as either a tumor or a cyst. It was excised, and on pathological examination a chronic granulomatous inflammatory lesion, containing innumerable Leishman-Donovan bodies, was found.