@article{article_432965, title={Cutaneous Leishmaniasis Mimicking Lupus Vulgaris}, journal={DOD Clinical Case Reports}, volume={2}, pages={23–26}, year={2018}, author={Türel Ermertcan, Aylin}, keywords={Layşmanyazis, lupus vulgaris, tedavi}, abstract={
Cutaneous leishmaniasis (CL) is a parasitic disease which is caused by Leishmania protozoans spreaded by phlebotomes. Because of the variety in cutaneous morphology, it can mimic many dermatoses, most commonly cutaneous cancers, discoid lupus erythematosus, lupus vulgaris and sarcoidosis and can lead to misdiagnoses and treatment in endemic areas. 45-year-old woman with an eight month’ history of red nodules on her face which had been treated as cutaneous tuberculosis before applied our policlinic. Dermatological examination revealed 2x2 cm centrally crusted red nodule on her nose, 0.5x0.5 cm red nodules on her forehead and rigt maxillary area. Patient history revealed that she had been treated with oral anti -tuberculosis drugs without treatment response in the first center she applied. The incisional skin biopsy showed a dense lymphohistiocytic inflammatory reaction throughout the entire dermis and in the cytoplasm of histiocytes and scattered in the tissue, amastigotes (Leishman-donovan bodies) were seen. The patient was treated with once a week intralesional meglumine antimoniate (Glucantime®) injections for six weeks. After six weeks, nodulo-ulcerative lesions were regressed.
}, number={2}, publisher={Dermatoonkoloji Derneği} }