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口腔受累的皮肤黏膜利什曼病:一例报告

Mucocutaneous Leishmaniasis With Oral Involvement: A Case Report.

作者信息

De Francesco Pierpaolo, Vescovi Paolo, Feliciani Claudio, Iaria Roberta, Corcione Luigi, Giovannacci Ilaria

机构信息

Department of Medicine and Surgery, University of Parma, Parma, Italy.

出版信息

Case Rep Dent. 2025 Aug 22;2025:1229183. doi: 10.1155/crid/1229183. eCollection 2025.

DOI:10.1155/crid/1229183
PMID:40894288
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12396908/
Abstract

The primary objective of the present study is the retrospective analysis of a clinical case of oral leishmaniasis treated at Parma Hospital and a review of the literature on mucosal leishmaniasis (ML) with oral cavity involvement. We report the case of a patient diagnosed in 2017 with mucocutaneous leishmaniasis who was referred to our clinic due to the emergence of oral manifestations. Through a detailed review of the clinical documentation, we aim to describe the clinical presentation, diagnosis, treatment choices made, and evolution of the disease. Literature describes various pharmacological approaches for leishmaniasis, with treatment selection dependent on clinical presentation. ML does not spontaneously resolve, and systemic therapy is necessary. Due to its rarity, oral leishmaniasis can be challenging to diagnose. This case report can help physicians recognize the clinical presentation of oral lesions, enabling prompt diagnosis and effective treatment.

摘要

本研究的主要目的是对帕尔马医院治疗的一例口腔利什曼病临床病例进行回顾性分析,并综述有关累及口腔的黏膜利什曼病(ML)的文献。我们报告了一例2017年被诊断为皮肤黏膜利什曼病的患者,因其出现口腔表现而转诊至我们的诊所。通过对临床记录的详细回顾,我们旨在描述该疾病的临床表现、诊断、所做的治疗选择以及病情演变。文献描述了利什曼病的各种药物治疗方法,治疗选择取决于临床表现。ML不会自行缓解,需要进行全身治疗。由于其罕见性,口腔利什曼病的诊断可能具有挑战性。本病例报告有助于医生认识口腔病变的临床表现,从而实现及时诊断和有效治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d548/12396908/731e562c2e95/CRID2025-1229183.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d548/12396908/80e3623ba41c/CRID2025-1229183.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d548/12396908/7e56445e07f0/CRID2025-1229183.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d548/12396908/731e562c2e95/CRID2025-1229183.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d548/12396908/80e3623ba41c/CRID2025-1229183.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d548/12396908/7e56445e07f0/CRID2025-1229183.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d548/12396908/731e562c2e95/CRID2025-1229183.003.jpg

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本文引用的文献

1
Leishmaniasis in Humans and Animals: A One Health Approach for Surveillance, Prevention and Control in a Changing World.人类和动物的利什曼病:变化世界中监测、预防和控制的“同一健康”方法
Trop Med Infect Dis. 2024 Oct 28;9(11):258. doi: 10.3390/tropicalmed9110258.
2
Mucosal leishmaniasis of the lips and cheeks: a first concomitant presentation of visceral and mucosal leishmaniasis in a patient living with HIV/AIDS in Monastir, Tunisia.唇和颊黏膜利什曼病:一名 HIV/AIDS 患者同时出现内脏和黏膜利什曼病的首例报告,来自突尼斯莫纳斯提尔。
AIDS Res Ther. 2024 Oct 23;21(1):73. doi: 10.1186/s12981-024-00660-1.
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Oral Leishmaniasis in HIV-Positive and HIV-Negative Patients: A Comparative Analysis with Two New Case Reports.
HIV 阳性和 HIV 阴性患者的口腔利什曼病:两例新病例报告的对比分析。
Head Neck Pathol. 2024 Aug 5;18(1):69. doi: 10.1007/s12105-024-01674-x.
4
Recent Advances in the Treatment of Leishmaniasis.利什曼病治疗的最新进展
Pediatr Infect Dis J. 2024 Sep 1;43(9):e310-e313. doi: 10.1097/INF.0000000000004429. Epub 2024 Jun 21.
5
Treatment of mucocutaneous leishmaniasis - A systematic review.黏膜皮肤利什曼病的治疗 - 系统评价。
J Dtsch Dermatol Ges. 2024 Jun;22(6):763-773. doi: 10.1111/ddg.15424. Epub 2024 May 20.
6
Adjunctive phototherapies for oral manifestation of HIV-related histoplasmosis and leishmaniasis: An unusual case report.辅助光疗治疗与 HIV 相关的口腔组织胞浆菌病和利什曼病:1 例不常见病例报告。
Photodiagnosis Photodyn Ther. 2023 Dec;44:103768. doi: 10.1016/j.pdpdt.2023.103768. Epub 2023 Aug 25.
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Is leishmaniasis the new emerging zoonosis in the world?利什曼病是否是世界上新出现的动物源性传染病?
Vet Res Commun. 2023 Dec;47(4):1777-1799. doi: 10.1007/s11259-023-10171-5. Epub 2023 Jul 12.
8
Particulate and non-particle adjuvants in Leishmaniasis vaccine designs: A review.寄生虫和非寄生虫佐剂在利什曼病疫苗设计中的应用:综述。
J Vector Borne Dis. 2023 Apr-Jun;60(2):125-141. doi: 10.4103/0972-9062.361179.
9
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Clin Case Rep. 2023 Apr 22;11(4):e7234. doi: 10.1002/ccr3.7234. eCollection 2023 Apr.
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Parasite. 2023;30:10. doi: 10.1051/parasite/2023011. Epub 2023 Mar 31.