Moravvej Hamideh, Barzegar Mohammadreza, Nasiri Soheila, Abolhasani Ehsan, Mohebali Mehdi
Skin Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Acta Med Iran. 2013 May 7;51(4):274-8.
Old world cutaneous leishmaniasis (OWCL) usually causes a single, self-healing and uncomplicated lesion mainly on the exposed area of body. This report presents four cases of OWCL from Iran that misdiagnosed with sarcoidosis, lymphoma, and acne agminata. Two out of four patients showed a history of purplish red plaques for at least 5 years who misdiagnosed as sarcoidosis because of histological and clinical characteristics. The other one presented with flesh-colored nodules disseminated all over his skin that was misdiagnosed as lymphoma for ten years. The last patient was misdiagnosed as acne agminata due to tuberculoid reactions in examination of the lesion biopsy. All the patients responded to the treatment with meglumine antimonate.
旧世界皮肤利什曼病（OWCL）通常在身体暴露部位引起单个、可自愈且无并发症的病变。本报告介绍了4例来自伊朗的OWCL病例，这些病例曾被误诊为结节病、淋巴瘤和聚合性痤疮。4例患者中有2例有至少5年的紫红色斑块病史，因其组织学和临床特征被误诊为结节病。另一例患者全身皮肤出现肉色结节，被误诊为淋巴瘤长达10年。最后一例患者因病变活检检查中的结核样反应被误诊为聚合性痤疮。所有患者使用葡甲胺锑酸盐治疗均有反应。
