Dermoscopic features of cutaneous leishmaniasis

Taheri, Ahmad Reza; Pishgooei, Nasibeh; Maleki, Masoud; Goyonlo, Vahid Mashayekhi; Kiafar, Bita; Banihashemi, Mahnaz; Khajedaluee, Mohammad

doi:10.1111/ijd.12114

Cited by 36 publications

(37 citation statements)

References 13 publications

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“…Recently, Taheri AR et al . (2013) 9 have expanded these previously described findings to include a yellowish hue and milia-like cysts ( Table 1 ). In this study, generalized erythema, hyperkeratosis and a "white starburst-like pattern" are more common in advanced, clinically nodular and ulcerated lesions.…”

Section: Discussionmentioning

confidence: 81%

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Dermatoscopic signs in cutaneous leishmaniasis

Bustamante

López

Campos

et al. 2017

An. Bras. Dermatol.

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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.

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Section: Discussionmentioning

confidence: 81%

“…Dermoscopic differential diagnosis includes Spitz nevi, amelanotic melanoma, nodular basal cell carcinoma, squamous cell carcinoma, keratoacanthoma and pyogenic granuloma. 5 , 9 …”

Section: Discussionmentioning

confidence: 99%

Dermatoscopic signs in cutaneous leishmaniasis

Bustamante

López

Campos

et al. 2017

An. Bras. Dermatol.

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“…There are a limited number of reports on dermoscopic findings of cutaneous leishmaniasis. [2][3][4][5] We present a case of cutaneous leishmaniasis in which a dermoscopic examination has been used for the first time in Bulgaria to diagnose the disease and monitor the effect of the applied cryotherapy.…”

Section: Introductionmentioning

confidence: 99%

Cutaneous Leishmaniasis – Dermoscopic Findings And Cryotherapy

Dobrev¹,

Nocheva²,

Vuchev

et al. 2015

Folia Medica

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We present a 60-year-old male patient who, three months after a holiday in Southern Greece, found a small 'pimple' on his back, which gradually got as big as a small walnut, the central part becoming ulcerated and scabby. Dermatological examination found an erythematous-to-livid nodular lesion on the right shoulder; it was 16 mm in diameter with central ulceration, covered with brownish crust which discharged pus-like secretion upon pressure. Microscope examination of Romanowsky-Giemsa stained lesion material detected amastigote forms of Leishmania tropica. The culture investigation and serological tests for leishmaniasis were negative. Dermoscopy of the lesion found the following features: erythema, hyperkeratosis, central ulceration covered with brownish crust, "yellow tears-like" structures and "white starburst-like" patterns, and various vascular structures (including dotted vessels, comma-shaped vessels, hairpin- and glomerular-like vessels). The patient was diagnosed with cutaneous leishmaniasis and underwent four cryotherapy sessions every other week with excellent therapeutic results - complete resolution of infiltrate with subsequent gentle hypopigmented scarring. In conclusion, dermoscopy is an easily accessible non-invasive method which can be useful for the diagnosis of cutaneous leishmaniasis. Cryotherapy is the treatment of choice for single skin lesions.

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“…To diagnose it, the practitioner has to perform laboratory investigation to confirm the diagnosis [2]. The use of “in vivo confocal microscopy” is presently mentioned as a new noninvasive tool to diagnose cutaneous leishmaniasis [3,4]. As noted by Taheri et al, the appearance by dermoscopy of cutaneous leishmaniasis is varied [4].…”

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confidence: 99%

“…The use of “in vivo confocal microscopy” is presently mentioned as a new noninvasive tool to diagnose cutaneous leishmaniasis [3,4]. As noted by Taheri et al, the appearance by dermoscopy of cutaneous leishmaniasis is varied [4]. The “paronychial, annular, palmoplantar, zosteriform, erysipeloid, and sporotrichoid” appearance of cutaneous leishmaniasis is not common and can be easily missed.…”

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confidence: 99%