Fernandez-Crehuet Pablo, Ruiz-Villaverde Ricardo
Dermatology Department. Hospital Universitario Reina Sofía - Cordoba, Spain.
Instituto Maimónides de Investigación Biomédica (IMIBIC) - Cordoba. Spain.
An Bras Dermatol. 2017 Mar-Apr;92(2):266-267. doi: 10.1590/abd1806-4841.20175728.
A 70-year-old woman was referred to our dermatological unit by her general practitioner last summer, with a history of a two-month ulcerated purplish lesion on her left arm that spread centrifugally and that unsuccessfully treated with topical corticosteroids. The dermoscopic evaluation revealed an erythematous macula with central ulceration that showed the characteristic called "white starburst-like pattern" and some vascular structures (dotted vessels, polymorphous⁄ atypical vessels). The diagnosis of cutaneous leishmaniasis was made after histopathologic analysis and polymerase chain reaction essay.
去年夏天，一名70岁女性被她的全科医生转诊至我们的皮肤科，她的左臂有一个两个月大的溃疡紫色病变，呈离心性扩散，外用皮质类固醇治疗无效。皮肤镜检查显示为中央溃疡的红斑，具有“白色星爆样图案”的特征以及一些血管结构（点状血管、多形性/非典型血管）。经组织病理学分析和聚合酶链反应检测后确诊为皮肤利什曼病。
