Localized cutaneous leishmaniasis of the plantar region: A 40-year outcome

dc.creatorDiehl, Eduardo Schenini
dc.creatorUra, Somei
dc.creatorFleury, Raul Negrão
dc.creatorAlmeida Junior, Hiram Larangeira de
dc.creatorBarral, Aldina Maria Prado
dc.date2017-08-14T19:10:00Z
dc.date2017-08-14T19:10:00Z
dc.date2017
dc.date.accessioned2023-09-26T22:30:19Z
dc.date.available2023-09-26T22:30:19Z
dc.identifierDIEHL, 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.
dc.identifier1087-2108
dc.identifierhttps://www.arca.fiocruz.br/handle/icict/20605
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8880085
dc.descriptionWe 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.
dc.formatapplication/pdf
dc.languageeng
dc.publisherUniversity of California, Davis
dc.rightsopen access
dc.subjectLeishmaniose Cutânea
dc.subjectUlcera do pé
dc.subjectHiperplasia epitelial
dc.subjectReação em Cadeia da Polimerase
dc.subjectHumanos
dc.subjectLeishmaniasis, Cutaneous
dc.subjectFoot ulcer
dc.subjectEpithelial hyperplasia
dc.subjectPolymerase chain reaction
dc.subjectHumans
dc.titleLocalized cutaneous leishmaniasis of the plantar region: A 40-year outcome
dc.typeArticle


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