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Dissemination in Cutaneous Leishmaniasis I. Subcutaneous Nodules
Author(s) -
Kubba Raj,
ElHassan A. M.,
Path F.R.C.,
AlGindan Yussuf,
Omer A. H. S.,
Kutty M. K.,
Path F.R.C.,
Saeed Mahmoud B. M.
Publication year - 1987
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1111/j.1365-4362.1987.tb00193.x
Subject(s) - medicine , leishmaniasis , dermatology , cutaneous leishmaniasis , pathology
In a study of cutaneous leishmaniasis (CL) caused by Leishmania major in Saudi Arabia, 10% of the patients were found to have subcutaneous nodules (5CN). The SCNs were usually inconspicuous, painless, and proximal to the primary skin lesions; when multiple, they showed a “sporotrichoid” configuration or appeared as “beaded cords.” Their number ranged from 1–16 (average 3.25 ± 2.50; mean ± 1 SD). In some patients, the SCNs seemed to be triggered by antileishmanial treatment. The clinical picture and pathologic findings suggest, that SCNs in patients with CL represent lymphatic dissemination, a phenomenon not widely recognized.