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Derm Case: Leishmaniasis, Cutaneous

Posted by iskanbasal on September 9, 2007

When I saw the ulcer I immediately recognized it : cutaneous leihmaniasis. I did not see any patient yet with this disease but it is characteristic and i remember it in my course in infectious diseases. This is the derm case from the current issue of the Canadian Family Physician. I read the answer to the derm question and was interested with the statistcs reported:

“Cutaneous leishmaniasis (CL) is a serious health problem worldwide and is endemic in nearly 90 countries. The World Health Organization has estimated that there are 1.0 to 1.5 million new cases of CL yearly, and more than 350 million people live in areas where CL is endemic. More than 90% of CL cases are seen in Algeria, Saudi Arabia, Iraq, Iran, Afghanistan, Brazil, and Peru.  Cutaneous leishmaniasis is also an increasing threat to travelers visiting these areas. More than 600 cases of Leishmania major acquired in Iraq and a few cases of Leishmania tropica acquired in Afghanistan have been reported in the United States military.  Leishmaniasis is a complex and diverse collection of clinical diseases caused by many species, each with its own geographic distribution, ecology, local mammalian reservoir, and sandfly vectors.

The derm case.

The answer.

(escuse me my English errors).

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