Unusual cutaneous lesions in two patients with visceral leishmaniasis and HIV infection - 07/09/11
Abstract |
Two HIV infected patients with visceral leishmaniasis and unusual cutaneous lesions are described. The first patient developed linear brown macules containing Leishmania parasites on the fingers and palms of the hands. This patient never received highly active antiretroviral treatment and the visceral leishmaniasis could not be cured even with liposomal amphotericin. In the second patient, Leishmania parasites were present in a skin biopsy of a fibrous histiocytoma. After completing visceral leishmaniasis treatment, a discrete elevation of one of his tattoos was seen. A biopsy specimen of this tattoo revealed Leishmania amastigotes. In this patient the visceral leishmaniasis was finally cured with meglumine antimoniate, followed by pentacarinat isothianate as maintenance therapy in conjunction with highly active antiretroviral treatment. (J Am Acad Dermatol 1999;41:847-50.)
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This supplement is made possible through an educational grant from Ortho Dermatological to the American Academy of Dermatology. |
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Reprint requests: R. Colebunders, Institute of Tropical Medicine, Nationalestraat 155, B-2000 Antwerpen, Belgium. E-mail: bcoleb@itg.be |
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0190-9622/99/$8.00 + 0 16/4/98955 |
Vol 41 - N° 5S
P. 847-850 - novembre 1999 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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