Gomes Ciro Martins, Morais Orlando Oliveira de, Leite Anglya Samara Silva, Soares Killarney Ataíde, Motta Jorgeth de Oliveira Carneiro da, Sampaio Raimunda Nonata Ribeiro
University Hospital of Brasilia, University of Brasilia, DF, Brazil.
An Bras Dermatol. 2012 Jan-Feb;87(1):148-9. doi: 10.1590/s0365-05962012000100024.
The vast majority of cases of cutaneous leishmaniasis are represented by limb injuries. A female patient, white, presented an ulcer with infiltrated borders located on the fourth finger of the left hand following occupational exposure in an area of native forest. Diagnosis of cutaneous leishmaniasis caused by Leishmania of the subgenus Viannia was confirmed. The patient failed to respond to treatment with antimony, but achieved clinical cure after this was associated with pentoxifylline. The case highlights the rarity of the periungual location of the leishmanial lesion and the difficulties encountered in therapy.
绝大多数皮肤利什曼病病例表现为肢体损伤。一名白人女性患者，在一片原生森林地区职业暴露后，左手无名指出现了一个边界浸润的溃疡。确诊为由维安亚属利什曼原虫引起的皮肤利什曼病。该患者对锑剂治疗无反应，但在联合使用己酮可可碱后实现了临床治愈。该病例凸显了利什曼病损位于甲周的罕见性以及治疗中遇到的困难。
