TITLE:
Cutaneous Leishmaniasis as Imitator of Skin Diseases and a Diagnostic Challenge
AUTHORS:
Khalifa E. Sharquie, Adil A. Noaimi, Banaz A. Saleh
KEYWORDS:
Cutaneous Leishmaniasis, Atypical Presentation, Diagnostic Challenge
JOURNAL NAME:
Journal of Cosmetics, Dermatological Sciences and Applications,
Vol.8 No.3,
September
26,
2018
ABSTRACT: Background: Cutaneous leishmaniasis (CL) usually has a well
clinical presentation that rarely confused with other dermatological diseases,
but when it presents with atypical picture, it may be a diagnostic challenge to
dermatologist. Objective: To record the cases of CL those have
very unusual presentations or sites in the Iraqi patients that might be
confused with other dermatoses. Patient and methods: This is a
clinical descriptive study that has been performed in the outpatient of
Department of Dermatology Baghdad Teaching Hospital, Baghdad, Iraq,
during the period from January 2015-February
2017, where fifty six patients were enrolled in the study. The age of the
patients ranged from 1 - 67 years old with median is 30 years, 32 males and 24 females with M:F
ratio is 1.3:1, the diagnosis was confirmed by skin smear and/or biopsy. Results: Fifty six cases of CL with atypical presentations and unusual sites that
categorized as follow: diffuse nodular 4 cases, paronychia like 1 case, sausage-like
CL 4 cases, lupus vulgaris like 2 cases, rosacea like 1case, squamous cell carcinoma-like
3 cases, keratoacanthoma like 1 case, pyoderma gangrenosum-like 2 cases,
erysipeloid like 1 case, B-cell lymphoma like 1 case, grouping pattern 1 case, panniculitis-like
2 cases, dermatitis like 2 cases, ecthyma like 1 cases, verruca
like 1 case, keloid like 1 case, CL on the scalp 1 case, palmer CL 1 case, CL on the eyelid 1 case, CL on the ear 1 case, CL
on the lips 3 cases, one genital CL case and twenty cases of sporotrichosis
like spread. Conclusion: Unusual presentations of the CL with
atypical lesions should be well recognized and investigated to
confirm the diagnosis so that not to be confused with other skin diseases
especially in countries where cutaneous leishmaniasis is not endemic disease