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<i>Leishmania donovani</i> Induced Cutaneous Leishmaniasis: An Insight into Atypical Clinical Variants in Sri Lanka.

J Trop Med · 2019 · PMC6556790 · PMID 31263501

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an increasing trendno p-value reported
An increasing trend to refer only nonclassical lesions to the specialized central laboratory was observed as a result during the latter part of the epidemic.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.