Unusual clinical variants of cutaneous leishmaniasis in Pakistan
Unusual clinical variants of cutaneous leishmaniasis in Pakistan
复制标题
巴基斯坦皮肤利什曼病的异常临床变异
DOI：
10.1046/j.1365-2133.1998.02325.x
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发表时间：
1998
影响因子：
10.3
通讯作者：
Ber Rahman
中科院分区：
文献类型：
--
作者：
K. M. Raja;Khan;Hameed;Ber Rahman
皮肤利什曼病是巴基斯坦俾路支省的地方病，对该地区的非免疫游客构成很大风险。这种常见疾病的广泛临床变异有时是诊断的挑战。在1年期间共记录了1709例皮肤利什曼病患者。37例（2%）患者的病变非常罕见，因此值得报告。这些包括急性甲沟炎、下疳、环状、掌跖、带状疱疹和丹毒样形式。带状疱疹和丹毒样形式以前很少报道，但据我们所知，急性甲沟炎，下疳，环形和掌跖病变是首次报道。形态学上不寻常的病变可能归因于宿主反应的改变或这些病变中寄生虫的非典型菌株的参与。
Cutaneous leishmaniasis is endemic in the Baluchistan province of Pakistan and poses a great risk to non‐immune visitors to the area. The wide spectrum of clinical variants of this common disease is at times a diagnostic challenge. A total of 1709 patients with cutaneous leishmaniasis were recorded over a 1‐year period. In 37 (2%) patients the lesions were very unusual, and therefore worth reporting. These included acute paronychial, chancriform, annular, palmoplantar, zosteriform and erysipeloid forms. The zosteriform and erysipeloid forms have rarely been reported previously, but to the best of our knowledge, acute paronychial, chancriform, annular and palmoplantar lesions are being reported for the first time. The morphologically unusual lesions may be attributed to an altered host response or involvement of an atypical strain of parasite in these lesions.