Visceral leishmaniasis is an infectious disease that occurs only rarely in recipients of solid organ grafts but is associated with an elevated mortality rate despite proper treatment. We report five cases diagnosed in our hospital. All the patients were men aged 30 to 60 years who had undergone kidney transplantation (3 patients), heart transplantation (1), or liver transplantation (1). Three of the patients died, one had multiple recurrences, and one developed post-kala-azar cutaneous leishmaniasis. We review the clinical features, treatments, and outcomes of 26 previously reported cases, pointing out the lower cure rate associated with human immunodeficiency virus infection.
Introduction: Superficial liposuction is the most common procedure for facial and body contouring. This article reports the results of a study in which superficial liposuction was utilized for permanent hair removal on the face (sideburn areas), the chin including the submental area, the neck, back, and upper and lower extremities of female and male patients. Possible complications are discussed. Materials and Methods: Thirty patients (25 women and 5 men) between 22 and 65 years of age were included. All patients were of Fitzpatrick skin types III or TV. Results: In 22 patients, 19 women and 3 men, 70–80% complete hair loss was noted by all observers in a single session. Follow-up at 3 months, 6 months, 1 year, and 2 years, showed no hair regrowth in any patient in the hair loss areas. In 8 patients, 6 women and 2 men, 50–60% of hair loss was noted after a single session. Complete hair loss was noted in all cases in the central areas where liposuction of the subcutaneous fat was complete, the direction of the dermal tunnels was superior, and where subsequent inflammation and postoperative hardening were intense. Conclusion: Superficial liposuction for hair removal is a quick method of permanent hair removal in selected patients removing maximum number of hairs in a single session. It is safe in experienced hands.
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