Article
Localized cutaneous leishmaniasis of the plantar region: A 40-year outcome
Registro en:
DIEHL, E. S. et al. Localized cutaneous leishmaniasis of the plantar region: A 40-year outcome. Dermatology Online Journal, v. 14, n. 12, p. 15-16, 2017.
1087-2108
Autor
Diehl, Eduardo Schenini
Ura, Somei
Fleury, Raul Negrão
Almeida Junior, Hiram Larangeira de
Barral, Aldina Maria Prado
Resumen
We report the case of a 78-year-old male Brazilian farmer, who presented with an extensive ulcer on the right foot that had an erythematous and raised
border. This ulcer involved most of the right plantar region and had persisted for more than 40 years. Satellite erythematous papules and tumor-like growths
were also seen on the right ankle. Extracutaneous involvement was not found. Light microscopy showed epithelial hyperplasia and diffuse histiocyte infiltration
with intense plasmocytosis. Cultures for fungi and Leishmania were negative. The polymerase chain reaction with specific primers for Leishmania was
performed using DNA extracted from the lesions; it showed an amplification of 120 pB. The patient had an excellent response after two 20-day cycles of intravenous
N-methylglucamine antimonate (15mg/Kg/day). Leishmaniasis should be highly considered in the differential diagnosis of chronic ulcers in endemic
areas.