Bustamante María Librada Porriño, López Josefa Sánchez, Campos Carmen Dulanto, Sintes Ramón Naranjo, Pugnaire María Antonia Fernández
Dermatology Department. University Hospital San Cecilio, Granada, Spain.
An Bras Dermatol. 2017 Nov-Dec;92(6):844-846. doi: 10.1590/abd1806-4841.20174441.
Dermoscopy is a non-invasive technique widely used to aid in the characterization and diagnosis of pigmented skin lesions. Recently, it has also been employed for the evaluation of non-pigmented skin tumours, and inflammatory and infectious cutaneous diseases. Although the diagnosis of cutaneous leishmaniasis is confirmed by the demonstration of amastigotes in infected skin or by the growth of promastigotes in culture medium, dermoscopy could be useful as a further diagnostic test. We report a patient with a nodular lesion located on the right cheek for almost two years. The lesion was clinically suggestive of cutaneous leishmaniasis. Dermoscopy showed yellow tears, erythema and vascular structures. The diagnosis was confirmed by the demonstration of amastigotes in a skin scraping sample.
皮肤镜检查是一种广泛应用的非侵入性技术，有助于对色素性皮肤病变进行特征描述和诊断。最近，它也被用于评估非色素性皮肤肿瘤以及炎症性和感染性皮肤病。虽然皮肤利什曼病的诊断通过在感染皮肤中发现无鞭毛体或在培养基中培养前鞭毛体来确诊，但皮肤镜检查作为进一步的诊断测试可能会有所帮助。我们报告一例患者，其右脸颊出现结节性病变近两年。该病变临床提示为皮肤利什曼病。皮肤镜检查显示有黄色条纹、红斑和血管结构。通过在皮肤刮片样本中发现无鞭毛体确诊。
