Jafari Alireza K, Akhyani Maryam, Valikhani Mahin, Ghodsi Zahra S, Barikbin Behrooz, Toosi Siavash
Department of Ophthalmology, Farabi Hospital, Tehran University of Medical Sciences.
Dermatol Online J. 2006 Jan 27;12(1):20.
An 11-year-old girl presented with a 6-month history of bilateral upper eyelid erythema, induration, and blepharitis resistant to conventional antibiotic therapy. The lesions gradually progressed to symmetrical ulcerative nodules within 3 months. Cutaneous smear and biopsy revealed numerous amastigotes in macrophage cells. Therapy with systemic pentavalent antimonial resulted in successful healing of lesions. We conclude that cutaneous leishmaniasis must be kept in mind in the differential diagnosis of bilateral chronic eyelid swelling in endemic regions of the world.
一名11岁女孩出现双侧上眼睑红斑、硬结和睑缘炎6个月，对传统抗生素治疗无效。病变在3个月内逐渐发展为对称性溃疡性结节。皮肤涂片和活检显示巨噬细胞内有大量无鞭毛体。全身应用五价锑治疗使病变成功愈合。我们得出结论，在世界流行地区双侧慢性眼睑肿胀的鉴别诊断中必须考虑皮肤利什曼病。
