It drops from "twisted ajrah treant", a lvl 20ish druid in East Karana. I found it on track while farming spiders, and tracked it well into the water on the western side of zone around -1394, 1123. When I didn't see it and couldn't /target twisted, I charmed a nearby charm crawler and /pet attack twisted. My pet died in about 7 seconds and the treant followed me back to shore. He died in about 4 seconds to a meagerly equipped lvl 51 bard.
I submitted a picture for both a twisted treant's corpse and this item.
EDIT: Also, there was no faction hit for killing the twisted treant.
/auc WTT Ajrah Leaf MQ for Red and White scales
Edited, Tue Jul 20 07:31:21 2004