[皮肤利什曼病的治疗——最新进展]
[Treatment of cutaneous leishmaniasis--an update].
作者信息
Vardy Daniel A, Gilead Leon, Frankenburg Shoshana
机构信息
Dermatology Institute Clalit Health Services-Southern District, Beer-Sheva.
出版信息
Harefuah. 2002 Jan;141(1):70-5, 125, 124.
Cutaneous leishmaniasis (CL) is a skin disease that manifests as ulcerated nodules, up to several centimeters in size, that persist for many months in spite of various therapies. The disease is a dermal infection with eukaryotic protozoa of the genus Leishmania, transferred by the bite of a female sand-fly, and therefore usually present on exposed areas of the skin such as limbs and face. The disease is endemic in specific geographical areas of Israel, mainly in the Jordan and Jericho valley, part of the Dead-Sea area, Kfar Edomim area, and parts of the Negev such as Ketziot and the Arava. Cutaneous leishmaniasis (CL) presents a significant health hazard in Israel, mainly to non-residents, such as soldiers or new immigrants, travelling to endemic areas. It is also not unusual to find patients with CL acquired during adventure travelling to South America. Treatment modalities available for treating CL are limited and often unpleasant. Over the past few years several new therapies for visceral leishmaniasis have become available raising hope for the development of more effective treatment options for CL. In this review we discuss the disease and its therapeutic options and also report a novel treatment for CL using ethanolic amphotericin B.
皮肤利什曼病(CL)是一种皮肤病,表现为溃疡结节,大小可达数厘米,尽管采用了各种治疗方法,仍会持续数月。该疾病是由利什曼原虫属的真核原生动物引起的皮肤感染,通过雌性白蛉叮咬传播,因此通常出现在皮肤暴露部位,如四肢和面部。该疾病在以色列的特定地理区域流行,主要在约旦和杰里科山谷、死海地区的一部分、卡法埃多米姆地区以及内盖夫的部分地区,如凯齐奥特和阿拉瓦。皮肤利什曼病(CL)在以色列对健康构成重大危害,主要针对前往流行地区的非居民,如士兵或新移民。在前往南美洲进行冒险旅行期间感染CL的患者也并不罕见。用于治疗CL的治疗方式有限,而且通常令人不适。在过去几年中,几种治疗内脏利什曼病的新疗法已经出现,这为开发更有效的CL治疗选择带来了希望。在本综述中,我们讨论了该疾病及其治疗选择,并报告了一种使用乙醇两性霉素B治疗CL的新方法。