Hayani K, Dandashli A, Weisshaar E
Abteilung Klinische Sozialmedizin, Schwerpunkt: Berufs- und Umweltdermatologie, Universitätsklinikum, Ruprecht-Karls-Universität Heidelberg, Thibautstr. 3, 69115, Heidelberg, Deutschland,
Hautarzt. 2014 Oct;65(10):889-94. doi: 10.1007/s00105-014-2802-7.
Cutaneous leishmaniasis is one of the most common dermatoses of the tropics. A major focus of this disease is the Syrian city of Aleppo, after which it was named in many textbooks ("Aleppo boil"). The first cases of cutaneous leishmaniasis were reported from Aleppo particularly more than 100 years ago. Syria is one of the most affected countries worldwide. This disease used to be well documented until the onset of the war in Syria in 2012, which is also supported by the numbers of the World Health Organisation (WHO), and Aleppo used to be the most affected Syrian city. Since 2012, the documentation of cutaneous leishmaniasis in Syria is no longer possible. An outbreak of cutaneous leishmaniasis has been detected especially in the besieged regions due to missing prevention measures against the sandflies and a lack of medical care. A short summary of the epidemiologic situation in Syria as well as outstanding and uncommon clinical manifestations of cutaneous leishmaniasis in Aleppo are presented.
皮肤利什曼病是热带地区最常见的皮肤病之一。这种疾病的一个主要发病地是叙利亚城市阿勒颇,许多教科书以该地名来命名这种病(“阿勒颇疖”)。100多年前,阿勒颇首次报告了皮肤利什曼病病例。叙利亚是全球受影响最严重的国家之一。在2012年叙利亚战争爆发之前,这种疾病一直有详细记录,世界卫生组织(WHO)的数据也证实了这一点,阿勒颇曾是叙利亚受影响最严重的城市。自2012年以来,叙利亚已无法对皮肤利什曼病进行记录。由于缺乏针对白蛉的预防措施和医疗护理,尤其是在被围困地区,已检测到皮肤利什曼病的疫情爆发。本文介绍了叙利亚的流行病学情况以及阿勒颇皮肤利什曼病的突出和罕见临床表现。