| Journal: | Gaceta médica de México |
| Database: | PERIÓDICA |
| System number: | 000407979 |
| ISSN: | 0016-3813 |
| Authors: | Mancheno Valencia, Alexandra1 Cabezas Arteaga, Julia2 Sacoto Aizaga, Ketty3 Arenas Guzmán, Roberto4 |
| Institutions: | 1Hospital Dermatológico Gonzalo González, Area de Cirugía Dermatológica, Quito, Pichincha. Ecuador 2Centro de la Piel, Quito, Pichincha. Ecuador 3Universidad Central del Ecuador, Facultad de Ciencias Químicas, Quito, Pichincha. Ecuador 4Hospital General Dr. Manuel Gea González, Departamento de Dermatología, Quito, Pichincha. Ecuador |
| Year: | 2017 |
| Season: | Mar-Abr |
| Volumen: | 153 |
| Number: | 2 |
| Pages: | 251-254 |
| Country: | México |
| Language: | Español |
| Document type: | Artículo |
| Approach: | Caso clínico |
| Spanish abstract | La Organización Mundial de la Salud (OMS) clasifica la leishmaniasis como una enfermedad emergente y sin control1 . En Ecuador, los únicos casos de LCD de variedad difusa se registraron de forma anecdótica en 19942. La LCD es diferenciada de la leishmaniasis cutánea localizada (LCL) clásica por el gran número de lesiones y por una respuesta refractaria a los tratamientos clásicos3,4. Se expone el caso de una mujer de 34 años de edad que presenta una dermatosis diseminada caracterizada por nódulos eritematosos, múltiples úlceras de varios tamaños entre 3 y 15 mm con bordes enrollados, eritematosos, y placas de aspecto cicatrizal. Es relevante considerar que se presenta en individuos tanto inmunocompetentes como inmunocomprometidos |
| English abstract | The World Health Organization (WHO) has classified leishmaniasis as an uncontrolled and emerging disease. In Ecuador, the only anecdotal cases of diffuse cutaneous leishmaniasis were recorded in 1994 and have not been formally published. This form can be differentiated from classical localized cutaneous leishmaniasis by the number of injuries, the clinical type of the main elementary lesions (papular and acneform), and a weak response to standard treatments. The case we report is a 34-year-old woman who presented with disseminated nodular lesions and ulcers of various sizes with erythematous edges and scars. We report the case and review diffuse cutaneous leishmaniasis and the differences that can be found with the other cutaneous variants. The diagnosis requires to be considered by primary care physicians in endemic areas and specialists, taking into account that this presentation can also occur in immunocompetent hosts |
| Disciplines: | Medicina |
| Keyword: | Dermatología, Parasitología, Leishmaniasis cutánea diseminada |
| Keyword: | Medicine, Dermatology, Parasitology, Disseminated cutaneous leishmaniasis |
| Full text: | Texto completo (Ver PDF) |
