Proteomics Research Centre, Tehran, Islamic Republic of Iran.
East Mediterr Health J. 2013 Oct;19(10):847-53.
Lorestan province in the Islamic Republic of Iran has not previously been known as a focus for cutaneous leishmaniasis (CL). Clinical and epidemiological studies were carried out on patients diagnosed with active CL at the central laboratory in Borujerd city during 1998-2010. A total of 137 patients with corroborated CL were studied (mean estimated annual incidence 4.36 per 100 000 inhabitants). The male:female ratio was > 11:1. Patients ranged in age from 8-63 years but > 70% were aged 21-40 years and only 1 was < or = 10 years. The rate of CL was highest in rural residents (56.9%) and among those working as labourers (38.0%) and drivers (32.8%). The rate of active lesions on the upper limbs (69.3%) was significantly higher than other locations, and more cases were dry sores (57.7%) than wet sores (42.3%). The majority of patients (61.3%) had a single active lesion (mean 1.8 ulcers per patient). This is the first report of CL in the area.
伊朗伊斯兰共和国洛雷斯坦省以前并非皮肤利什曼病（CL）的重点疫区。1998 年至 2010 年期间，在博鲁杰尔德市的中心实验室对确诊患有活动性 CL 的患者进行了临床和流行病学研究。共研究了 137 例经证实的 CL 患者（估计平均年发病率为每 100000 居民 4.36 例）。男女比例>11:1。患者年龄 8-63 岁，但>70%年龄在 21-40 岁之间，只有 1 例年龄<或=10 岁。农村居民（56.9%）和体力劳动者（38.0%）和驾驶员（32.8%）CL 的发病率最高。上肢活动性病变（69.3%）的发生率明显高于其他部位，干性溃疡（57.7%）多于湿性溃疡（42.3%）。大多数患者（61.3%）有单个活动性病变（每位患者平均 1.8 个溃疡）。这是该地区首例 CL 报告。
