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Related Concept Videos

Skin Diseases and Disorders01:23

Skin Diseases and Disorders

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Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
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Microsporidia are a group of obligate intracellular fungi that were initially classified as protists but were later reclassified based on phylogenetic, molecular, and structural evidence linking them to the Chytridiomycota. These unicellular, non-motile organisms are highly specialized parasites that infect a wide range of animal hosts, including humans. They have evolved extensive genomic and metabolic reductions, making them highly dependent on their hosts for survival.Morphology and Genomic...
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Endocarditis II: Clinical Features of Infective Endocarditis01:25

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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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Accessory Structures of the Skin: Nails01:05

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Nails are one of the important accessory structures of the skin. They are hard, protective structures that cover the dorsal surface of the distal phalanges of fingers and toes. Nails are composed of specialized keratinized cells and serve various functions, including protection, sensation, and manual dexterity.
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Related Experiment Video

Updated: Mar 29, 2026

Cutaneous Leishmaniasis in the Dorsal Skin of Hamsters: a Useful Model for the Screening of Antileishmanial Drugs
11:36

Cutaneous Leishmaniasis in the Dorsal Skin of Hamsters: a Useful Model for the Screening of Antileishmanial Drugs

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Paronychia-like cutaneous leishmaniasis.

S Chiheb, L El Machbouh1, F Marnissi

  • 1Ibn Rochd hospital, Casablanca. l.machbouh@gmail.com.

Dermatology Online Journal
|December 4, 2015
PubMed
Summary

This case report highlights a rare instance of ungueal leishmaniasis presenting as chronic paronychia. Early recognition of atypical leishmaniasis presentations is crucial for effective treatment.

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Parasitology

Background:

  • Chronic paronychia is a persistent inflammatory condition of the nail folds.
  • Cutaneous leishmaniasis, caused by Leishmania parasites, typically presents with skin lesions.
  • Atypical presentations of leishmaniasis can mimic other dermatological disorders, posing diagnostic challenges.

Observation:

  • A 34-year-old man presented with a 6-month history of inflamed proximal nail fold of the left thumb.
  • The condition was resistant to standard antibiotic and antifungal treatments.
  • Surgical excision of the nail fold was performed for diagnosis.

Findings:

  • Histopathological examination revealed epithelioid granulomas with giant cells.
  • The presence of Leishmania amastigotes confirmed the diagnosis of ungueal leishmaniasis.

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  • This represents a rare paronychial form of cutaneous leishmaniasis.
  • Implications:

    • Physicians in leishmaniasis-endemic areas must consider atypical presentations, including nail fold infections.
    • Ungueal leishmaniasis should be suspected in recalcitrant paronychia cases, especially in endemic regions.
    • Timely diagnosis and appropriate treatment are essential to manage this rare manifestation of leishmaniasis.