Salmanpour R, Handjani F, Zerehsaz F, Ardehali S, Panjehshahin M R
Department of Dermatology, Shiraz University of Medical Sciences, Shiraz, Iran.
Eur J Dermatol. 1999 Sep;9(6):458-9.
Old World cutaneous leishmaniasis has many different clinical presentations. A rare and unusual presentation of cutaneous leishmaniasis is the erysipeloid type. This clinical form is not only unusual in its clinical features but also in the specific category of patients it seems to afflict. In this report 5 Iranian patients, predominantly females, between 50 and 70 years of age, presented with infiltrative erythematous lesions covering the center of the face and resembling erysipelas. Skin smears and/or skin biopsies revealed the diagnosis of cutaneous leishmaniasis. The reason for this type of presentation is unclear, although factors such as the specific species involved, the host's immune response, the hormonal changes encountered with increasing age, and the changes in skin barrier with ageing can be speculated as being important points in causing such an unusual presentation.
旧大陆皮肤利什曼病有许多不同的临床表现。皮肤利什曼病一种罕见且不寻常的表现形式是丹毒样型。这种临床类型不仅在临床特征上不寻常，而且在似乎易患的特定患者类别中也不寻常。在本报告中，5名伊朗患者，主要为女性，年龄在50至70岁之间，面部中央出现浸润性红斑病变，类似丹毒。皮肤涂片和/或皮肤活检确诊为皮肤利什曼病。尽管可以推测所涉及的特定物种、宿主的免疫反应、随着年龄增长而出现的激素变化以及皮肤屏障随年龄增长的变化等因素是导致这种不寻常表现的重要因素，但这种表现类型的原因尚不清楚。
