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an automated and high-throughput manner. This measurement of morphology can be applied to describe overall pellet size distribution and heterogeneity. Leishmaniasis is not endemic in Japan, and imported cases are rare. However, there are increasing concerns regarding imported cases of cutaneous leishmaniasis from endemic countries to Japan. This report describes a case of imported cutaneous leishmaniasis that was diagnosed and treated in Japan. A 53-year-old Pakistani man presented with skin lesions on both malleoli of his right ankle and