Baghestani S, Handjani F, Sodeifi M, Kumar P V
Department of Dermatology, Shiraz University of Medical Sciences, Shiraz, Iran.
Eur J Dermatol. 1998 Jun;8(4):277-9.
Post-kala-azar dermal leishmaniasis is a dermatosis which was described during the first quarter of this century. Most cases reported are from the Indian subcontinent and certain parts of Africa. The disease generally follows an attack of kala-azar, usually a few months to several years after the visceral disease has healed. The clinical picture is variable. In this report, we present a case of post-kala-azar dermal leishmaniasis in a 5-year-old Iranian boy who presented with multiple, asymptomatic, erythematous papules on his trunk and extremities and a brownish, figurate discoloration on his lower extremities, 4 years after an attack of kala-azar which was completely cured. Histopathological examination of one of the biopsied papules revealed multiple Leishman bodies. The patient was successfully treated with a pentavalent antimonial compound.
黑热病后皮肤利什曼病是一种在本世纪上半叶被描述的皮肤病。报告的大多数病例来自印度次大陆和非洲的某些地区。该病通常发生在黑热病发作之后，通常在内脏疾病治愈后的几个月至几年。临床表现多样。在本报告中，我们介绍了一名5岁伊朗男孩的黑热病后皮肤利什曼病病例，该男孩在完全治愈黑热病发作4年后，躯干和四肢出现多个无症状红斑丘疹，下肢有褐色花纹状色素沉着。对其中一个活检丘疹进行组织病理学检查发现多个利什曼小体。该患者用五价锑化合物成功治愈。
