甲周皮肤利什曼病：一项诊断挑战。

Periungual tegumentary leishmaniasis: a diagnostic challenge.

作者信息

Sasso Bruna Morassi, Torino Ana Beatriz Barbosa, França Andréa Fernandes Eloy da Costa, Velho Paulo Eduardo Neves Ferreira

机构信息

Department of Clinical Medicine, Dermatology Unit, of the School of Medical Sciences of the State University of Campinas (Unicamp) - Campinas (SP), Brazil.

出版信息

An Bras Dermatol. 2017 Mar-Apr;92(2):268-269. doi: 10.1590/abd1806-4841.20176352.

DOI:10.1590/abd1806-4841.20176352

PMID:28538896

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5429122/

Abstract

Periungual and paronychia-like skin lesions can mimic various diseases, setting up a diagnostic challenge that invariably requires correlation with complementary tests. We report a case of an ulcerated tumor of the nailfold diagnosed as leishmaniasis. Although paronychia-like cutaneous leishmaniasis is a rare variant, its epidemiological relevance in Brazil should prompt dermatologists to include it as a plausible diagnosis thus leading to correct work up and treatment.

摘要

甲周及甲沟炎样皮肤病变可模仿多种疾病，带来诊断挑战，这始终需要与辅助检查结果相结合。我们报告一例被诊断为利什曼病的甲襞溃疡肿瘤病例。尽管甲沟炎样皮肤利什曼病是一种罕见的变异型，但其在巴西的流行病学相关性应促使皮肤科医生将其作为一种合理的诊断考虑在内，从而进行正确的检查和治疗。