Service ORL et chirurgie cervico-faciale, CHU Habib Bourguiba, 3029 Sfax, Tunisia.
Eur Ann Otorhinolaryngol Head Neck Dis. 2011 Apr;128(2):95-7. doi: 10.1016/j.anorl.2010.09.008. Epub 2011 Jan 19.
We report the epidemiological and clinical characteristics of the erysipeloid form of cutaneous leishmaniasis as well as its diagnostic and therapeutic challenges.
A 63-year-old woman, with no medical history, presented with a one-month history of erythematous nasal swelling. The lesion appeared after an accidental trauma. Erythematous infiltrative plaque was noted on the center of the face. There were also crust formations on the traumatic region. Despite local treatment and oral antibiotherapy, there was no improvement. The diagnosis of cutaneous leishmaniasis was confirmed by positive skin smears. Histopathological examinations of a skin biopsy showed no malignancy. The patient was treated intramuscularly with 10mg/kg per day systemic meglumine antimoniate with partial regression of symptoms.
The erysipeloid type is a rare and unusual presentation of cutaneous leishmaniasis that often causes late diagnosis. Diagnosis is confirmed by the demonstration of the parasite by skin smear, histopathological examination and polymerase chain reaction. There are various therapeutic options. The evolution is generally favourable.
我们报告了类丹毒型皮肤利什曼病的流行病学和临床特征，以及其诊断和治疗挑战。
一名 63 岁女性，无病史，因鼻肿胀发红一个月就诊。病变是在一次意外创伤后出现的。面部中央有红斑浸润性斑块，创伤部位有结痂形成。尽管进行了局部治疗和口服抗生素治疗，但病情没有改善。皮肤涂片阳性证实了皮肤利什曼病的诊断。皮肤活检的组织病理学检查显示无恶性肿瘤。患者接受了 10mg/kg/天的肌内注射，每天一次的葡甲胺锑，症状部分缓解。
类丹毒型是皮肤利什曼病罕见且不常见的表现，常导致诊断延迟。通过皮肤涂片、组织病理学检查和聚合酶链反应证实寄生虫的存在来确诊。有各种治疗选择。病情通常是有利的。
