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題名 | Cutaneous Leishmaniasis=皮膚萊什曼原蟲病 |
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作者 | 曾慧文; 李玉雲; | 書刊名 | 中華皮膚科醫學雜誌 |
卷期 | 16:4 1998.12[民87.12] |
頁次 | 頁283-287 |
分類號 | 415.725 |
關鍵詞 | 皮膚; 萊什曼原蟲病; Cutaneous leishmaniasis; |
語文 | 英文(English) |
中文摘要 | 萊什曼病是由萊什曼原蟲所引起,由已感染的白蛉叮咬人體而傳染。可分為內臟 型黏膜皮膚型及皮膚型。我們報告一例境外引進的皮膚萊什曼病。一位三十二歲泰國籍勞工 在雙手前臂上各有一塊紅色斑塊已有二個月。在發病之前,他曾經在以色列工作了十八個月 。病灶處的皮膚病理變化顯示在真皮層有壞死性柵狀排列的肉芽腫組織,在組織球中含有許 多細小的萊什曼原蟲體,診斷為萊什曼病。從此病人的臨床表徵來看,可能是熱帶萊什曼原 蟲感染。用 rifampicin 治療三週之後,此病人要求切除病灶。病灶切除後五個月無復發跡 象。 |
英文摘要 | Leishmaniasis, caused by Leishmania, is transmitted through the bite of infected sandflies. It is classified into visceral, mucocutaneous and cutaneous types. We report an imported case of cutaneous leishmaniasis in a Thai labor. A 32-year-old Thai man presented with two erythematous plaques on both forearms for 2 months. He had worked in Israel for 18 months previously. The histopathology of the skin lesion revealed necrotizing palisaded granulomas in the dermis with numerous tiny organisms of leishmania in the cytoplasm of histiocytes. A diagnosis of leishmaniasis was made. Based on the clinical findings, the infection was probably caused by Leishmania tropica. After taking rifampicin for 3 weeks, he requested excision. The lesions were excised without recurrence 5 months postoperatively. |
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