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复发性皮肤利什曼病

Recurrent cutaneous leishmaniasis.

作者信息

Gomes Ciro Martins, Damasco Fabiana dos Santos, Morais Orlando Oliveira de, Paula Carmen Déa Ribeiro de, Sampaio Raimunda Nonata Ribeiro

机构信息

Dermatology Department, Brasilia University Hospital, UnB, Brasilia, DF, Brazil.

出版信息

An Bras Dermatol. 2013 May-Jun;88(3):462-4. doi: 10.1590/abd1806-4841.20131885.

DOI:10.1590/abd1806-4841.20131885
PMID:23793208
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3754387/
Abstract

We present a case of an 18-year-old male patient who, after two years of inappropriate treatment for cutaneous leishmaniasis, began to show nodules arising at the edges of the former healing scar. He was immune competent and denied any trauma. The diagnosis of recurrent cutaneous leishmaniasis was made following positive culture of aspirate samples. The patient was treated with N-methylglucamine associated with pentoxifylline for 30 days. Similar cases require special attention mainly because of the challenges imposed by treatment.

摘要

我们报告一例18岁男性患者，在对皮肤利什曼病进行了两年不恰当治疗后，原愈合瘢痕边缘开始出现结节。他免疫功能正常，否认有任何外伤史。抽吸样本培养呈阳性后，确诊为复发性皮肤利什曼病。该患者接受了30天的N - 甲基葡糖胺联合己酮可可碱治疗。类似病例主要由于治疗带来的挑战而需要特别关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd29/3754387/2a5107558b94/abd-88-0462-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd29/3754387/5e3198c74dca/abd-88-0462-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd29/3754387/f51cfa29d3be/abd-88-0462-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd29/3754387/2a5107558b94/abd-88-0462-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd29/3754387/5e3198c74dca/abd-88-0462-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd29/3754387/f51cfa29d3be/abd-88-0462-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd29/3754387/2a5107558b94/abd-88-0462-g03.jpg

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本文引用的文献

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Periungual leishmaniasis.甲周利什曼病
An Bras Dermatol. 2012 Jan-Feb;87(1):148-9. doi: 10.1590/s0365-05962012000100024.
2
Advances in the treatment of cutaneous leishmaniasis in the new world in the last ten years: a systematic literature review.过去十年新世界皮肤利什曼病治疗进展：系统文献综述
An Bras Dermatol. 2011 May-Jun;86(3):497-506. doi: 10.1590/s0365-05962011000300012.
3
Lupoid cutaneous leishmaniasis: a report of 16 cases.狼疮样皮肤利什曼病：16 例报告。
Pentavalent Antimonials Combined with Other Therapeutic Alternatives for the Treatment of Cutaneous and Mucocutaneous Leishmaniasis: A Systematic Review.五价锑联合其他治疗方案治疗皮肤利什曼病和黏膜皮肤利什曼病：一项系统评价
Dermatol Res Pract. 2018 Dec 24;2018:9014726. doi: 10.1155/2018/9014726. eCollection 2018.
Indian J Dermatol Venereol Leprol. 2010 Jan-Feb;76(1):85. doi: 10.4103/0378-6323.58698.
4
Interventions for American cutaneous and mucocutaneous leishmaniasis.美国皮肤和黏膜皮肤利什曼病的干预措施。
Cochrane Database Syst Rev. 2009 Apr 15(2):CD004834. doi: 10.1002/14651858.CD004834.pub2.
5
Oral pentoxifylline combined with pentavalent antimony: a randomized trial for mucosal leishmaniasis.口服己酮可可碱联合五价锑：黏膜利什曼病的一项随机试验。
Clin Infect Dis. 2007 Mar 15;44(6):788-93. doi: 10.1086/511643. Epub 2007 Feb 2.
6
Leishmaniasis recidiva cutis due to Leishmania (Viannia) panamensis in subtropical Ecuador: isoenzymatic characterization.厄瓜多尔亚热带地区由巴拿马利什曼原虫（维阿尼利什曼原虫）引起的皮肤利什曼病复发：同工酶特征分析
Int J Dermatol. 2006 Feb;45(2):116-20. doi: 10.1111/j.1365-4632.2004.02518.x.
7
Leishmaniasis recidiva cutis.皮肤利什曼病复发
Int J Dermatol. 2000 Mar;39(3):205-6. doi: 10.1046/j.1365-4362.2000.00687.x.
8
Treatment of recurrent cutaneous Leishmaniasis.复发性皮肤利什曼病的治疗。
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