title: Cutaneous leishmaniasis in expatriates in northern Saudi Arabia.
abstract: Cutaneous leishmaniasis is a protozoal disease transmitted by sandflies. It is endemic across the desert of the Middle East to Afghanistan and Africa. This paper reviews the findings in 148 expatriates with cutaneous leishmaniasis seen in Arar, northern Saudi Arabia, during a five year period. Cutaneous leishmaniasis was seen in all age groups. Farm workers, labourers and military personnel stationed in the region during the Gulf war were most affected. There was a seasonal variation with maximum incidence between November and January. The lesions were commonly multiple, the number of lesions per patient ranged from one to twelve. 18% of the lesions were located on the face, 34% on the upper extremity, 42% on the lower extremity and six per cent on other sites. The average duration of the lesions before diagnosis was two months. The most common complications were secondary bacterial skin infection (pyoderma and cellulitis) and residual scarring. The response to sodium stibogluconate was good. There has been a gradual reduction in the number of cases from a peak of 64 in 1991 to twelve in 1995. As compared to studies in the indigenous population, cutaneous leishmaniasis tends to be more frequent and server in expatriates from non endemic areas. There is a need for increased awareness of this disorder, especially in the home countries of these expatriates.
authors.affiliation: Arar Central Hospital, North Zone, Saudi Arabia.
authors.forename: E P
authors.initials: EP
authors.lastname: Kubeyinje
authors.forename: C S
authors.initials: CS
authors.lastname: Belagavi
authors.forename: Y A
authors.initials: YA
authors.lastname: Jamil
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000967:Antimony Sodium Gluconate / Q000627:therapeutic use; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D002648:Child; D004641:Emigration and Immigration; D006801:Humans; D015994:Incidence; D016773:Leishmaniasis, Cutaneous / Q000188:drug therapy / Q000208:ethnology*; D008875:Middle Aged; D012529:Saudi Arabia; D012621:Seasons; D014195:Travel
chemical_list: D000981:Antiprotozoal Agents; D000967:Antimony Sodium Gluconate