Cutaneous Leishmaniasis with Unusual Clinical and Histological Presentation: Report of Four Cases

  • Hamideh Moravvej Mail Skin Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Mohammadreza Barzegar Skin Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Soheila Nasiri Skin Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Ehsan Abolhasani Skin Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Mehdi Mohebali Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Keywords:
Acne agminata, Cutaneous leishmaniasis, Leishmania, Lymphoma, Sarcoidosis

Abstract

Old world cutaneous leishmaniasis (OWCL) usually causes a single, self-healing and uncomplicated lesion mainly on the exposed area of body. This report presents four cases of OWCL from Iran that misdiagnosed with sarcoidosis, lymphoma, and acne agminata. Two out of four patients showed a history of purplish red plaques for at least 5 years who misdiagnosed as sarcoidosis because of histological and clinical characteristics. The other one presented with flesh-colored nodules disseminated all over his skin that was misdiagnosed as lymphoma for ten years. The last patient was misdiagnosed as acne agminata due to tuberculoid reactions in examination of the lesion biopsy. All the patients responded to the treatment with meglumine antimonate.

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How to Cite
1.
Moravvej H, Barzegar M, Nasiri S, Abolhasani E, Mohebali M. Cutaneous Leishmaniasis with Unusual Clinical and Histological Presentation: Report of Four Cases. Acta Med Iran. 51(4):274-278.
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Articles