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Cutaneous leishmaniasis
Author(s) -
Hepburn N. C.
Publication year - 2000
Publication title -
clinical and experimental dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.587
H-Index - 78
eISSN - 1365-2230
pISSN - 0307-6938
DOI - 10.1046/j.1365-2230.2000.00664.x
Subject(s) - medicine , leishmaniasis , leishmania braziliensis , mucocutaneous zone , dermatology , cutaneous leishmaniasis , incidence (geometry) , leishmania , disease , visceral leishmaniasis , surgery , immunology , pathology , parasite hosting , physics , world wide web , computer science , optics
Leishmaniasis is a major World health problem, which is increasing in incidence. In Northern Europe it is seen in travellers returning from endemic areas. The protozoa is transmitted by sandflies and may produce a variety of clinical syndromes varying from a simple ulcer to fatal systemic disease. This review considers the management of simple cutaneous leishmaniasis. Patients usually have a single ulcer which may heal spontaneously, requiring only topical, or no treatment at all. Lesions caused by Leishmania braziliensis may evolve into the mucocutaneous form, ‘espundia’, and should be treated with systemic antimony. Sodium stiboglucoante 20 mg/kg/day i.v. for 20 days is the appropriate first line treatment in these cases. Although it may cause transient bone marrow suppression, liver damage, a chemical pancreatitis, and disturbances in the electrocardiogram, it appears to be safe. The success of treatment should be assessed 6 weeks after it has been completed and patients should be followed up for 6 months.