RESUMEN
Abstract: Dermoscopy is a non-invasive technique widely used to aid in the characterization and diagnosis of pigmented skin lesions. Recently, it has also been employed for the evaluation of non-pigmented skin tumours, and inflammatory and infectious cutaneous diseases. Although the diagnosis of cutaneous leishmaniasis is confirmed by the demonstration of amastigotes in infected skin or by the growth of promastigotes in culture medium, dermoscopy could be useful as a further diagnostic test. We report a patient with a nodular lesion located on the right cheek for almost two years. The lesion was clinically suggestive of cutaneous leishmaniasis. Dermoscopy showed yellow tears, erythema and vascular structures. The diagnosis was confirmed by the demonstration of amastigotes in a skin scraping sample.
Asunto(s)
Humanos , Femenino , Preescolar , Mejilla/parasitología , Leishmaniasis Cutánea/patología , Dermoscopía/métodos , Dermatosis Facial/parasitología , Rifampin/uso terapéutico , Resultado del Tratamiento , Leishmaniasis Cutánea/diagnóstico , Leishmaniasis Cutánea/tratamiento farmacológico , Leprostáticos/uso terapéuticoRESUMEN
Dermoscopy is a non-invasive technique widely used to aid in the characterization and diagnosis of pigmented skin lesions. Recently, it has also been employed for the evaluation of non-pigmented skin tumours, and inflammatory and infectious cutaneous diseases. Although the diagnosis of cutaneous leishmaniasis is confirmed by the demonstration of amastigotes in infected skin or by the growth of promastigotes in culture medium, dermoscopy could be useful as a further diagnostic test. We report a patient with a nodular lesion located on the right cheek for almost two years. The lesion was clinically suggestive of cutaneous leishmaniasis. Dermoscopy showed yellow tears, erythema and vascular structures. The diagnosis was confirmed by the demonstration of amastigotes in a skin scraping sample.
Asunto(s)
Mejilla/parasitología , Dermoscopía/métodos , Dermatosis Facial/parasitología , Leishmaniasis Cutánea/patología , Preescolar , Femenino , Humanos , Leishmaniasis Cutánea/diagnóstico , Leishmaniasis Cutánea/tratamiento farmacológico , Leprostáticos/uso terapéutico , Rifampin/uso terapéutico , Resultado del TratamientoAsunto(s)
Dermatosis Facial/diagnóstico , Leishmaniasis Cutánea/diagnóstico , Antiprotozoarios/uso terapéutico , Dermatosis Facial/tratamiento farmacológico , Dermatosis Facial/parasitología , Humanos , Leishmaniasis Cutánea/tratamiento farmacológico , Masculino , Meglumina/uso terapéutico , Antimoniato de Meglumina , Persona de Mediana Edad , Nariz , Compuestos Organometálicos/uso terapéuticoRESUMEN
Cutaneous leishmaniasis is caused by the intracellular protozoan parasite belonging to the genus leishmania and is characterized by a myriad of clinical lesions including papules, nodules, and ulcers. Diffuse cutaneous forms of leishmaniasis are rare. We report a rare case from South India of diffuse cutaneous leishmaniasis masquerading as lepromatous leprosy in the context of HIV infection.