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American tegumentary leishmaniasis: an uncommon clinical and histopathological presentation.

Adriano AL, Leal PA, Breckenfeld MP, Costa Idos S, Almeida C, Sousa AR - An Bras Dermatol (2013 Mar-Apr)

Bottom Line: We report a case of an unusual presentation of American Tegumentary Leishmaniasis involving a male patient with a solitary lesion on the ear lobe, persisting with minimal increase for at least six months without ulceration or related symptoms.Treatment commenced with meglumine antimoniate resulting in regression of the condition.This report is of importance given the unusual clinical manifestation and histopathological findings in this case and the fact that there was low correlation with the extended duration of the disease.

View Article: PubMed Central - PubMed

Affiliation: Dermatology Department, Dona Libânia Dermatology Center, Fortaleza, CE, Brazil. adrilena@hotmail.com

ABSTRACT
We report a case of an unusual presentation of American Tegumentary Leishmaniasis involving a male patient with a solitary lesion on the ear lobe, persisting with minimal increase for at least six months without ulceration or related symptoms. The histological sections showed epithelial atrophy and a large number of structures consistent with Leishmania sp. amastigotes within macrophages. Treatment commenced with meglumine antimoniate resulting in regression of the condition. This report is of importance given the unusual clinical manifestation and histopathological findings in this case and the fact that there was low correlation with the extended duration of the disease.

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Aspect of the lesion pretreatment: a nodule of fibrous-elastic tissue on the rightear lobe
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f01: Aspect of the lesion pretreatment: a nodule of fibrous-elastic tissue on the rightear lobe

Mentions: Physical examination revealed an erythematous nodule of fibrous-elastic tissue on theright ear lobe with no purulent discharge. The patient, with no history of local trauma,did not experience localized pain, itching or constitutional symptoms (Figure 1).


American tegumentary leishmaniasis: an uncommon clinical and histopathological presentation.

Adriano AL, Leal PA, Breckenfeld MP, Costa Idos S, Almeida C, Sousa AR - An Bras Dermatol (2013 Mar-Apr)

Aspect of the lesion pretreatment: a nodule of fibrous-elastic tissue on the rightear lobe
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3750893&req=5

f01: Aspect of the lesion pretreatment: a nodule of fibrous-elastic tissue on the rightear lobe
Mentions: Physical examination revealed an erythematous nodule of fibrous-elastic tissue on theright ear lobe with no purulent discharge. The patient, with no history of local trauma,did not experience localized pain, itching or constitutional symptoms (Figure 1).

Bottom Line: We report a case of an unusual presentation of American Tegumentary Leishmaniasis involving a male patient with a solitary lesion on the ear lobe, persisting with minimal increase for at least six months without ulceration or related symptoms.Treatment commenced with meglumine antimoniate resulting in regression of the condition.This report is of importance given the unusual clinical manifestation and histopathological findings in this case and the fact that there was low correlation with the extended duration of the disease.

View Article: PubMed Central - PubMed

Affiliation: Dermatology Department, Dona Libânia Dermatology Center, Fortaleza, CE, Brazil. adrilena@hotmail.com

ABSTRACT
We report a case of an unusual presentation of American Tegumentary Leishmaniasis involving a male patient with a solitary lesion on the ear lobe, persisting with minimal increase for at least six months without ulceration or related symptoms. The histological sections showed epithelial atrophy and a large number of structures consistent with Leishmania sp. amastigotes within macrophages. Treatment commenced with meglumine antimoniate resulting in regression of the condition. This report is of importance given the unusual clinical manifestation and histopathological findings in this case and the fact that there was low correlation with the extended duration of the disease.

Show MeSH
Related in: MedlinePlus