Leishmaniasis Recidivans Mimicking Lupus Vulgaris

Landau, Marina; Srebrnik, A; Brenner, Sarah

doi:10.1111/j.1365-4362.1996.tb03658.x

Cited by 21 publications

(13 citation statements)

References 9 publications

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“…All these criteria in a region where there is an endemic or epidemic of leishmaniasis, like Tunisia, or even in case of positive travel history to an endemic area, can aid in correct diagnosis. Despite all the above-mentioned arguments for the diagnosis of CL, when presented with such a facial lesion, the authors can evoke other diagnoses such as LV (cutaneous tuberculosis),12 lupus erythematosus (LE), or lupus pernio, which is a form of cutaneous sarcoidosis and facial erysipelas 12,13…”

Section: Discussionmentioning

confidence: 98%

Lupoid cutaneous leishmaniasis: a case report

et al. 2011

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BackgroundLupoid cutaneous leishmaniasis (CL) is a rare form of CL having a striking resemblance to other granulomatous cutaneous conditions of infectious or inflammatory origin. The authors present a patient with a facial lupoid CL and discuss the diagnostic tools of this parasitological infection, the main differential diagnosis, and treatment.Case reportA 54-year-old Tunisian woman, with no past medical history of lupus erythematosus or infectious disease, presented with a 3-month history of a slowly enlarging erythematous and infiltrated plaque, extending over the nose, the right cheek, and the internal aspect of the right lower eyelid. Microscopic examination of a parasitological smear showed numerous leishmania in their amastigote form, inside monocytes, confirming the diagnosis of CL. Clinical aspect was in favor of lupoid CL. The patient was cured by fluconazole 200 mg/day for 6 weeks after pancreatic intolerance with intramuscular meglumine antimoniate (60 mg/kg/day for 7 days), and no response to doxycycline (200 mg/day for 6 weeks).DiscussionLupoid CL is easily suspected in countries in which there is an endemic of leishmaniasis. In countries where there isn’t an endemic, although rarely observed, this diagnosis should also be kept in mind in front of an infiltrated facial lesion of a tuberculoid aspect on histology, especially when there is a positive travel history to an area in which there is an endemic.

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Section: Discussionmentioning

confidence: 98%

Lupoid cutaneous leishmaniasis: a case report

et al. 2011

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“…718,[732][733][734] The disseminated form is usually related to New World parasites. The recidivous type, part of the chronic manifestations, is also known as "lupoid" or "recidivans."…”

Section: Etiology and Pathogenesismentioning

confidence: 99%

Skin Infections

Prieto-Granada¹,

Lobo²,

Mihm³

2010

Diagnostic Pathology of Infectious Disease

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“…La LC lupoïde pose le plus de diagnostic différentiel [13], tant sur le plan clinique que sur le plan histologique avec un lupus tuberculeux, d'autant qu'il siège fréquemment au niveau du visage et réalise un placard papulocroûteux lupoïde. Histologiquement, on observe un infiltrat granulomateux fait d'un amas de cellules épithélioïdes groupées en nodules confluents.…”

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