Limits...
An itching plaque.

Garcias-Ladaria J, López-Brito K, Pascual-López M, Rocamora V - Dermatol Pract Concept (2015)

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Hospital de Manacor, Islas Baleares, Spain.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

More than 20 species of Leishmania are infectious to the human being... While disseminated and mucous CL, like VL, are life-threatening conditions, localized CL tends to self-resolution... Still, it can lead to permanent scarring and disfigurement, especially in cosmetic areas, and correct diagnosis and early treatment is paramount... Combined with variability in host response, parasitic and vector factors result in a myriad of skin lesions that can be challenging, even for experienced clinicians... The erythema develops into a papule, then a nodule that progressively ulcerates in a variable time frame raging from weeks to months... They are usually found in exposed areas, especially the face and arms and can be solitary or multiple... Pattern 1 (early lesions) more often showed vascular structures (comma-shaped vessels, linear irregular vessels and polymorphous/atypical vessels) and “yellow tears,” while pattern 2 (later lesions) displayed a central erosion/ulceration and hyperkeratosis surrounded by “white starburst-like pattern” and vascular structures on the periphery... Vascular morphology appeared to be varied: comma-shaped vessels, linear irregular vessels, dotted vessels, polymorphous/atypical vessels, hairpin vessels, arborizing telangiectasia, corkscrew vessels, and glomerular vessels are described... Eighty-eight percent of the lesions had two or more vascular patterns and no specific pattern or arrangement was found... Histological differential diagnoses are sarcoidosis, foreign body reaction, granulomatous rosacea and granuloma annulare... Cultures show the growth of promastigotes, the flagellated infective form, found in vectors... However, for localized CL, periodic intralesional injections every four weeks are widely accepted as the standard treatment and achieve high rates of cure... Other treatment options include other antibiotics, physical therapies (cryotherapy, thermotherapy, Co2 laser therapy), surgery and imiquimod... In conclusion, we present a case of localized cutaneous leishmaniasis in an atypical location.

No MeSH data available.


Related in: MedlinePlus

A brownish papule or plaque contacting the elastic band of the underwear under the right breast. (Copyright: ©2015 Garcias-Ladaria et al.)
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4325692&req=5

f1-dp0501a09: A brownish papule or plaque contacting the elastic band of the underwear under the right breast. (Copyright: ©2015 Garcias-Ladaria et al.)

Mentions: A 30-year-old woman presented to our hospital in Manacor, Mallorca, with a new lesion on the thorax that had appeared three to four months earlier, had gradually enlarged and was slightly itchy. The patient was otherwise healthy. Physical examination revealed a tender, brownish papule or plaque contacting the elastic band of the underwear under the right breast (Figure 1). The remaining physical exam showed no other relevant lesions.


An itching plaque.

Garcias-Ladaria J, López-Brito K, Pascual-López M, Rocamora V - Dermatol Pract Concept (2015)

A brownish papule or plaque contacting the elastic band of the underwear under the right breast. (Copyright: ©2015 Garcias-Ladaria et al.)
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4325692&req=5

f1-dp0501a09: A brownish papule or plaque contacting the elastic band of the underwear under the right breast. (Copyright: ©2015 Garcias-Ladaria et al.)
Mentions: A 30-year-old woman presented to our hospital in Manacor, Mallorca, with a new lesion on the thorax that had appeared three to four months earlier, had gradually enlarged and was slightly itchy. The patient was otherwise healthy. Physical examination revealed a tender, brownish papule or plaque contacting the elastic band of the underwear under the right breast (Figure 1). The remaining physical exam showed no other relevant lesions.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Hospital de Manacor, Islas Baleares, Spain.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

More than 20 species of Leishmania are infectious to the human being... While disseminated and mucous CL, like VL, are life-threatening conditions, localized CL tends to self-resolution... Still, it can lead to permanent scarring and disfigurement, especially in cosmetic areas, and correct diagnosis and early treatment is paramount... Combined with variability in host response, parasitic and vector factors result in a myriad of skin lesions that can be challenging, even for experienced clinicians... The erythema develops into a papule, then a nodule that progressively ulcerates in a variable time frame raging from weeks to months... They are usually found in exposed areas, especially the face and arms and can be solitary or multiple... Pattern 1 (early lesions) more often showed vascular structures (comma-shaped vessels, linear irregular vessels and polymorphous/atypical vessels) and “yellow tears,” while pattern 2 (later lesions) displayed a central erosion/ulceration and hyperkeratosis surrounded by “white starburst-like pattern” and vascular structures on the periphery... Vascular morphology appeared to be varied: comma-shaped vessels, linear irregular vessels, dotted vessels, polymorphous/atypical vessels, hairpin vessels, arborizing telangiectasia, corkscrew vessels, and glomerular vessels are described... Eighty-eight percent of the lesions had two or more vascular patterns and no specific pattern or arrangement was found... Histological differential diagnoses are sarcoidosis, foreign body reaction, granulomatous rosacea and granuloma annulare... Cultures show the growth of promastigotes, the flagellated infective form, found in vectors... However, for localized CL, periodic intralesional injections every four weeks are widely accepted as the standard treatment and achieve high rates of cure... Other treatment options include other antibiotics, physical therapies (cryotherapy, thermotherapy, Co2 laser therapy), surgery and imiquimod... In conclusion, we present a case of localized cutaneous leishmaniasis in an atypical location.

No MeSH data available.


Related in: MedlinePlus