Belda Mira A, Díaz Sánchez F, Martínez García B, Gonzalvo Bellver E, Antón Crespo V, Redón Mas J
Servicio de Medicina Interna, Dermatología y Anatomía Patológica, Hospital de Sagunto, Valencia.
An Med Interna. 1994 Aug;11(8):398-400.
The cutaneous affection in visceral leishmaniasis (VL) or Kala-azar, is well known although poorly documented. The coinfection by the human immunodeficiency virus (HIV) has resulted in the development of frequent atypical forms of VL, increasing the descriptions of cutaneous affection in its evolution. We present two cases of VL-HIV, stressing the location of Leishmania in cutaneous lesions and in apparently normal skin. We suggest the cutaneous biopsy as diagnostic procedure and criteria for the definition of VL-HIV as indicative of AIDS.
内脏利什曼病（VL）或黑热病中的皮肤病变虽有记载但较少。人类免疫缺陷病毒（HIV）合并感染导致了常见的非典型VL形式的出现，增加了其病程中皮肤病变的描述。我们报告两例VL-HIV病例，强调利什曼原虫在皮肤病变及明显正常皮肤中的定位。我们建议将皮肤活检作为诊断方法，并将VL-HIV的定义标准作为艾滋病的指征。
