Girgla H S, Marsden R A, Singh G M, Ryan T J
Br J Dermatol. 1977 Sep;97(3):307-11. doi: 10.1111/j.1365-2133.1977.tb15188.x.
Ten patients with post-kala-azar dermal leishmaniasis (2 females, 8 males-aged 17-47 years) are described. Two of them had macular lesions in which very few Leishman-Donovan bodies were seen and who responded well to treatment with stibophen. Five patients had both macular and nodular lesions, Leishman-Donovan bodies being present in nodules but not in macules. Treatment with stibophen caused partial regression of nodules. Nodular lesions were found in three patients, who did not have macules. They contained numerous Leishman-Donovan bodies and treatment produced only temporary improvement. The variable response to treatment with stibophen may have been due to differences in parasitic load. The difficulty in distinguishing this disease from leprosy is discussed.
本文描述了10例黑热病后皮肤利什曼病患者（2例女性，8例男性，年龄在17至47岁之间）。其中2例有斑疹病变，仅见极少量利什曼 - 多诺万小体，用锑波芬治疗效果良好。5例既有斑疹又有结节性病变，结节中有利什曼 - 多诺万小体，斑疹中则没有。锑波芬治疗使结节部分消退。3例患者仅有结节性病变，无斑疹。结节中含有大量利什曼 - 多诺万小体，治疗仅产生暂时改善。对锑波芬治疗的不同反应可能是由于寄生虫负荷的差异。文中还讨论了将这种疾病与麻风病区分开来的困难。
