Aouchiche M, Hartani D
Med Trop (Mars). 1981 Sep-Oct;41(5):519-22.
In stricto sensu cutaneous leishmaniasis from 2 to 5 p. 100 of the facial lesions are localized on the eye-lids, most often on the external corner. The pathologic pattern is comparable to what can be observed on the rest of the skin but the fragility of eye-lid gives a special risk of local spreading. The most common aspect is chalazion-like but ulcerous, phagedenic and cancer-like forms may be observed. Lacrymal ducts are sometimes involved. In muco-cutaneous leishmaniasis the lesions are more destructive and may lead to eye loss. The authors consider the diagnosis and the appropriate treatment.
严格意义上讲，皮肤利什曼病患者中，面部病损的2%至5%位于眼睑，最常见于外眼角。病理形态与皮肤其他部位所见相似，但眼睑的脆弱性使其具有局部扩散的特殊风险。最常见的表现类似睑板腺囊肿，但也可见溃疡型、侵蚀性和癌样形态。泪管有时也会受累。在黏膜皮肤利什曼病中，病损更具破坏性，可能导致失明。作者们考虑了诊断及适当的治疗方法。
