Leishmaniasis cutaneous recurrent

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

leishmaniasis recidivans; leishmaniosis recidivans; lupoid leishmaniasis; Recurrent cutaneous leishmaniasis

Definition
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In loco recurrent cutaneous leishmaniasis, which occurs in about 6% of cutaneous leishmaniasis Recurrence may occur decades after healing of the primary lesion.

Manifestation
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Localization
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Especially in the face

Clinical features
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In < 10% of cases of classical cutaneous leishmaniasis a chronic recurrent form develops. This form of leishmaniasis is only known in infections with L. tropica (Old World) and L. braziliensis (New World). Peripheral neoplasms occur over a longer period of time. The site of the primary infection can heal or persist. This constellation results in different clinical formations which also remind of a lupus vulgaris(tuberculosis cutis luposa) (see figure).

Literature
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  1. Esfandiarpour I et al.(2007) Treatment of cutaneous leishmaniasis recidivans with a combination of allopurinol and meglumine antimoniate: a clinical and histologic study. Int J Dermatol 46:848-852
  2. Gurel MS et al (2002) Cutaneous leishmaniasis in Sanliurfa: epidemiologic and clinical features of the last four years (1997-2000). Int J Dermatol 41:32-37
  3. Landau M et al(1996) Leishmaniasis recidivans mimicking lupus vulgaris. Int J Dermatol 35:572-573
  4. Marovich MA et al (2001) Leishmaniasis recidivans recurrence after 43 years: a clinical and immunologic report after successful treatment. Clin Infect Dis 33:1076-1079
  5. Sharifi I et al (2010) Leishmaniasis recidivans among school children in Bam, South-east Iran, 1994-2006 Int J Dermatol 49: 557-561

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Last updated on: 29.10.2020