2016
DOI: 10.1007/s12105-016-0732-7
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Exclusive Primary Lesion of Oral Leishmaniasis with Immunohistochemical Diagnosis

Abstract: A case of oral leishmaniasis without cutaneous involvement affecting the upper alveolar ridge mucosa/ gingiva and the hard palate is reported in a 41-year-old Brazilian man. Microscopic examination disclosed scarce amastigotes and the definitive diagnosis was facilitated by immunohistochemical analysis. The clinical presentation of this lesion is unusual and underlies the importance of considering leishmaniasis in the differential diagnosis of oral lesions, especially in endemic areas. A literature review of t… Show more

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Cited by 26 publications
(19 citation statements)
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“…Paragraph 4: there is no reasonable evidence suggesting MCL is generally associated with VL or immunosuppression. All references supporting this statement (11)(12)(13)(14)(15)(16)(17)(18)(19) are case reports informing unusual clinical presentations. It's highly recommended to authors review https://doi.org/10.1016/B978-0-323-55512-8.00104-6 for a better understanding of the pathobiology and risk factors of MCL.…”
Section: Data Availabilitymentioning
confidence: 86%
See 1 more Smart Citation
“…Paragraph 4: there is no reasonable evidence suggesting MCL is generally associated with VL or immunosuppression. All references supporting this statement (11)(12)(13)(14)(15)(16)(17)(18)(19) are case reports informing unusual clinical presentations. It's highly recommended to authors review https://doi.org/10.1016/B978-0-323-55512-8.00104-6 for a better understanding of the pathobiology and risk factors of MCL.…”
Section: Data Availabilitymentioning
confidence: 86%
“…Facial involvement of leishmaniasis is a serious complication, since it can lead to disfiguration and be potentially fatal 11,12 . In one case reported, the patient had severe psychological consequences due to facial deformity, reinforcing the importance of early diagnosis and appropriate therapy.…”
Section: Discussionmentioning
confidence: 99%
“…According to Almeida, most mucosal leishmaniasis occur in the tongue (35.0%), followed by the palate (20.0%) and the buccal mucosa (10.0%). In four cases (20.0%), multiple lesions involving different sites on the oral mucosa were observed.…”
Section: Discussionmentioning
confidence: 99%
“…Leishmaniasis Mucosa (LM) is a chronic infection that affects the upper respiratory tract and/or oral mucosa. The etiological agents Leishmania brazilienses , followed by L. panamensis and L. amazonenses are the main causers of LM [ [1] , [2] , [3] ].…”
Section: Introductionmentioning
confidence: 99%
“…In general, it presents as erythema and ulceration or as exophytic plaque, papules and/or nodules, usually affecting hard palate, soft palate and tongue. However, they can affect any site such as the lip, uvula, gingiva, amygdala and retromolar region, associated with pain, edema, foul smell, bleeding and sialorrhea [ 3 ].…”
Section: Introductionmentioning
confidence: 99%