Mattos M, Caiza A, Fernandes O, Gonçalves A J, Pirmez C, Souza C S, Oliveira-Neto M P
Hospital Evandro Chagas, Instituto Oswaldo Cruz, Fiocruz, Rio de Janeiro, Brazil.
J Eur Acad Dermatol Venereol. 1998 May;10(3):218-25.
A report of four cases of American cutaneous leishmaniasis associated with HIV infection is presented.
The association of mucocutaneous leishmaniasis and HIV infection is rare. Only 15 cases have been reported in the literature thus far.
Four new cases are described and the differences between the clinical presentation in immunocompromised and immunocompetent patients are emphasized.
Multiple cutaneous lesions plus mucosal involvement characterize the clinical presentation of American cutaneous leishmaniasis in association with HIV infection in the majority of the cases. A serological investigation for HIV infection is recommended for patients presenting with this type of clinical picture, especially if the patient is a young male.
报告4例与HIV感染相关的美洲皮肤利什曼病病例。
黏膜皮肤利什曼病与HIV感染的关联罕见。迄今为止，文献中仅报道了15例。
描述4例新病例，并强调免疫功能低下患者与免疫功能正常患者临床表现的差异。
在大多数病例中，多发性皮肤病变加黏膜受累是与HIV感染相关的美洲皮肤利什曼病的临床表现特征。对于出现此类临床表现的患者，尤其是年轻男性患者，建议进行HIV感染的血清学调查。
