Atypical presentations of cutaneous leishmaniasis: a case series
Keywords:
Cutaneous leishmaniasis, atypical types, lupoid, sporotrichoidAbstract
Cutaneous leishmaniasis (CL) is endemic in many areas of Pakistan. The typical clinical presentations of cutaneous leishmaniasis are papulonodular, plaque and ulcer but certain atypical types have also been reported worldwide. Here, we describe eleven patients with uncommon lesions that were difficult to recognize clinically as CL and the diagnosis of CL was made on histopathology. Out of 11 patients, there were 9 males and 2 females. The commonly affected sites were face (55%), upper limbs (36%) and lower limbs (9%). The morphological patterns noted were lupoid (5), sporotrichoid (2), eczematous (2), furuncle-like (1) and tinea faciei-like (1).References
Syed RA, Aman S, Hussain I, Kazmi AH. Kashmor: focus of cutaneous leishmaniasis. J Pak Assoc Dermatol. 2006;16:147-50.
Shamsuddin S, Mengal JA, Gazozai S, Mandokhail ZK, Kasi M, Muhammad N. Atypical presentation of cutaneous leishmaniasis in the native population of Baluchistan. J Pak Assoc Dermatol. 2006;16:196-200.
Bari AU. Epidemiology of cutaneous leishmaniasis. J Pak Assoc Dermatol. 2006;16:156-62.
Raja KM, Khan AA, Hameed A, Rahman SB. Unusual clinical variants of cutaneous leishmaniasis in Pakistan. Br J Dermatol. 1998;139:111-3. Pub Med PMID: 9764160.
Downing C, Tyring S. Parasitic diseases. In: Griffiths C, Barker J, Bleiker T, Chalmers R, Creamer D, eds. Rook’s Textbook of Dermatology. 9th edn. Oxford: Wiley- Blackwell; 2016. p. 33.1-33.54.
Douba MD, Abbas O, Wali A, Nassany J, Aouf A, Tibbi MS et al. Chronic cutaneous leishmaniasis, a great mimicker with various clinical presentations; 12 years experience from Aleppo. J Eur Acad Dermatol Venereol. 2012;26:1224-9.
Elamin EM, Guerbouj S, Musa AM, Guizani I, Khalil EA, Mukhtar MM et al. Uncommon clinical presentations of cutaneous leishmaniasis in Sudan. Trans R Soc Trop Med Hyg. 2005;99:803-8.
Calvopina M, Gomez EA, Uezato H, Kato H, Nonaka S, Hashiguchi Y. Atypical clinical variants in new world cutaneous leishmaniasis: Disseminated, erysipeloid and recidiva cutis due to Leishmania panamensis. Am J Trop Med Hyg. 2005;73:281-4.
Minodier P, Parola P. Cutaneous leishmaniasis treatment. Travel Med Infec Dis. 2007;5:150-8.
Walsh DS, Balagon MV, Abalos RM, Tiongco ES, Cellona RV, Fajardo TT et al. Multiple lesions of cutaneous leishmaniasis in a Filipino expatriate. J Am Acad Dermatol. 1997;36:847-9.
