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Erysipeloid leishmaniasis: an unusual clinical presentation
R Salmanpour1, F Handjani, F Zerehsaz
1Department of Dermatology, Shiraz University of Medical Sciences, Shiraz, Iran.
European Journal of Dermatology : EJD
|September 24, 1999
Summary
A rare erysipeloid form of Old World cutaneous leishmaniasis presents unusually in older Iranian women. Diagnosis requires skin smears or biopsies to identify this distinct clinical presentation.
Area of Science:
- Dermatology
- Infectious Diseases
- Medical Research
Background:
- Old World cutaneous leishmaniasis (CL) exhibits diverse clinical manifestations.
- The erysipeloid type of CL is a rare and atypical presentation.
- This form appears to affect a specific demographic, primarily older individuals.
Observation:
- Five Iranian patients, aged 50-70 and predominantly female, presented with facial lesions.
- Lesions were infiltrative, erythematous, centered on the face, and mimicked erysipelas.
- Diagnosis was confirmed via skin smears and/or biopsies.
Findings:
- The erysipeloid presentation of CL is uncommon.
- This clinical form was observed in a specific age group and gender.
- Microscopic examination confirmed cutaneous leishmaniasis.
Implications:
- Understanding rare CL presentations is crucial for accurate diagnosis.
- Factors like host immunity, age-related hormonal changes, and skin barrier alterations may influence CL presentation.
- Further research is needed to elucidate the specific triggers for the erysipeloid form of CL.