Orabi Mohamed A A, Lahiq Ahmed A, Awadh Ahmed Abdullah Al, Alshahrani Mohammed Merae, Abdel-Wahab Basel A, Abdel-Sattar El-Shaymaa
Department of Pharmacognosy, College of Pharmacy, Najran University, P.O. Box 1988, Najran 66454, Saudi Arabia.
Department of Pharmaceutics, College of Pharmacy, Najran University, P.O. Box 1988, Najran 66454, Saudi Arabia.
Trop Med Infect Dis. 2023 May 14;8(5):275. doi: 10.3390/tropicalmed8050275.
With more than 12 million cases worldwide, leishmaniasis is one of the top 10 neglected tropical diseases. According to the WHO, there are approximately 2 million new cases each year in foci in around 90 countries, of which 1.5 million are cutaneous leishmaniasis (CL). Cutaneous leishmaniasis (CL) is a complex cutaneous condition that is caused by a variety of species, including () , () () , () () , and () . The disease imposes a significant burden on those who are affected since it typically results in disfiguring scars and extreme social stigma. There are no vaccines or preventive treatments available, and chemotherapeutic medications, including antimonials, amphotericin B, miltefosine, paromomycin, pentamidine, and antifungal medications, have a high price tag, a significant risk of developing drug resistance, and a variety of systemic toxicities. To work around these limitations, researchers are continuously looking for brand-new medications and other forms of therapy. To avoid toxicity with systemic medication use, high cure rates have been observed using local therapy techniques such as cryotherapy, photodynamic therapy, and thermotherapy, in addition to some forms of traditional therapies, including leech and cauterization therapies. These CL therapeutic strategies are emphasized and assessed in this review to help with the process of locating the appropriate species-specific medicines with fewer side effects, lower costs, and elevated cure rates.
利什曼病在全球范围内有超过1200万例病例,是十大被忽视的热带病之一。据世界卫生组织称,每年在约90个国家的疫源地有大约200万新病例,其中150万例为皮肤利什曼病(CL)。皮肤利什曼病(CL)是一种复杂的皮肤疾病,由多种物种引起,包括(此处原文括号内容缺失)。该疾病给患者带来了沉重负担,因为它通常会导致毁容性疤痕和极大的社会耻辱感。目前没有可用的疫苗或预防性治疗方法,化疗药物,包括锑剂、两性霉素B、米替福新、巴龙霉素、喷他脒和抗真菌药物,价格高昂,产生耐药性的风险很大,且有多种全身毒性。为克服这些局限性,研究人员不断在寻找全新的药物和其他治疗形式。为避免全身用药带来的毒性,除了一些传统疗法,如水蛭疗法和烧灼疗法外,使用冷冻疗法、光动力疗法和热疗法等局部治疗技术已观察到较高的治愈率。本综述强调并评估了这些CL治疗策略,以帮助寻找副作用更少、成本更低且治愈率更高的合适的物种特异性药物。
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