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Effect of the Syrian Civil War on Prevalence of Cutaneous Leishmaniasis in Southeastern Anatolia, Turkey.

Inci R, Ozturk P, Mulayim MK, Ozyurt K, Alatas ET, Inci MF - Med. Sci. Monit. (2015)

Bottom Line: The majority of the cases were diagnosed between October and December.Immigrations to endemic regions of Turkey from neighbouring countries where CL incidence is higher may lead to large increases in case numbers.In order to decrease the risk of exposure, housing conditions of the refugees must be improved, routine health controls must be performed, effective measures must be set in place for vector control, and infected individuals must be diagnosed and treated to prevent spread of the infection.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Izmir Katip Celebi University, Atatürk Training and Research Hospital, Izmir, Turkey.

ABSTRACT

Background: Cutaneous leishmaniasis (CL) is a vector-mediated skin disease, characterized by chronic wounds on the skin and caused by macrophages in protozoan parasites. It is an endemic disease in the southern and southeastern Anatolia region and is still an important public health problem in Turkey. Because of the civil war in Syria, immigrants to this region in the last 3 years have begun to more frequently present with this disease. The aim of this study was to draw attention to the dramatic increase in new cases with CL after the beginning of the civil war in Syria.

Material and methods: In this retrospective study, we evaluated demographic, epidemiological, and clinical features of 110 patients diagnosed with cutaneous leishmaniasis who were admitted to the Department of Dermatology at Kahramanmaras Sutcu Imam University Faculty of Medicine between January 2011 and June 2014.

Results: A total of 110 patients included in the study; 50 (45%) were males, and 60 (55%) were females. The age range of the study group was 1-78 years, and the infection was more prevalent in the 0-20 year age group. Of these patients, 76 (69%) were Syrian refugees living in tent camps and 34 (31%) were Turkish citizens. The majority of the cases were diagnosed between October and December.

Conclusions: Immigrations to endemic regions of Turkey from neighbouring countries where CL incidence is higher may lead to large increases in case numbers. In order to decrease the risk of exposure, housing conditions of the refugees must be improved, routine health controls must be performed, effective measures must be set in place for vector control, and infected individuals must be diagnosed and treated to prevent spread of the infection.

No MeSH data available.


Related in: MedlinePlus

After removing of the crust of the leishmaniasis lesion, “tin-tack” sign was seen over the wound (sign de clou).
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f4-medscimonit-21-2100: After removing of the crust of the leishmaniasis lesion, “tin-tack” sign was seen over the wound (sign de clou).

Mentions: The initial lesions appear as erythematous papules on the exposed body sites such as face and extremities and become nodular crusted lesions. When the surface of the crusted lesion is removed, horny processes are observed projecting from the under-surface of a crust, and this is referred to as “tin-tack” sign (signe de clou) (Figure 4). The papules and nodules become ulcerated over time or heal leaving an atrophic scar without ulceration. The infection can cause subcutaneous nodules arranged in a linear pattern as a result of lymphatic dissemination of the parasite, which is a rare occurrence called a sporotrichoid pattern. Pentavalent antimony compounds such as meglumine antimoniate and sodium stibogluconate are first-line treatment options. The intralesional administration of pentavalent antimony compounds was used in our cases. Only 4 patients with multiple lesions were admitted to the hospital for intramuscular administration of the treatment.


Effect of the Syrian Civil War on Prevalence of Cutaneous Leishmaniasis in Southeastern Anatolia, Turkey.

Inci R, Ozturk P, Mulayim MK, Ozyurt K, Alatas ET, Inci MF - Med. Sci. Monit. (2015)

After removing of the crust of the leishmaniasis lesion, “tin-tack” sign was seen over the wound (sign de clou).
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4514268&req=5

f4-medscimonit-21-2100: After removing of the crust of the leishmaniasis lesion, “tin-tack” sign was seen over the wound (sign de clou).
Mentions: The initial lesions appear as erythematous papules on the exposed body sites such as face and extremities and become nodular crusted lesions. When the surface of the crusted lesion is removed, horny processes are observed projecting from the under-surface of a crust, and this is referred to as “tin-tack” sign (signe de clou) (Figure 4). The papules and nodules become ulcerated over time or heal leaving an atrophic scar without ulceration. The infection can cause subcutaneous nodules arranged in a linear pattern as a result of lymphatic dissemination of the parasite, which is a rare occurrence called a sporotrichoid pattern. Pentavalent antimony compounds such as meglumine antimoniate and sodium stibogluconate are first-line treatment options. The intralesional administration of pentavalent antimony compounds was used in our cases. Only 4 patients with multiple lesions were admitted to the hospital for intramuscular administration of the treatment.

Bottom Line: The majority of the cases were diagnosed between October and December.Immigrations to endemic regions of Turkey from neighbouring countries where CL incidence is higher may lead to large increases in case numbers.In order to decrease the risk of exposure, housing conditions of the refugees must be improved, routine health controls must be performed, effective measures must be set in place for vector control, and infected individuals must be diagnosed and treated to prevent spread of the infection.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Izmir Katip Celebi University, Atatürk Training and Research Hospital, Izmir, Turkey.

ABSTRACT

Background: Cutaneous leishmaniasis (CL) is a vector-mediated skin disease, characterized by chronic wounds on the skin and caused by macrophages in protozoan parasites. It is an endemic disease in the southern and southeastern Anatolia region and is still an important public health problem in Turkey. Because of the civil war in Syria, immigrants to this region in the last 3 years have begun to more frequently present with this disease. The aim of this study was to draw attention to the dramatic increase in new cases with CL after the beginning of the civil war in Syria.

Material and methods: In this retrospective study, we evaluated demographic, epidemiological, and clinical features of 110 patients diagnosed with cutaneous leishmaniasis who were admitted to the Department of Dermatology at Kahramanmaras Sutcu Imam University Faculty of Medicine between January 2011 and June 2014.

Results: A total of 110 patients included in the study; 50 (45%) were males, and 60 (55%) were females. The age range of the study group was 1-78 years, and the infection was more prevalent in the 0-20 year age group. Of these patients, 76 (69%) were Syrian refugees living in tent camps and 34 (31%) were Turkish citizens. The majority of the cases were diagnosed between October and December.

Conclusions: Immigrations to endemic regions of Turkey from neighbouring countries where CL incidence is higher may lead to large increases in case numbers. In order to decrease the risk of exposure, housing conditions of the refugees must be improved, routine health controls must be performed, effective measures must be set in place for vector control, and infected individuals must be diagnosed and treated to prevent spread of the infection.

No MeSH data available.


Related in: MedlinePlus