Rare variants of Cutaneous Leishmaniasis: whitlow, paronychia, and sporotrichoid.
Cutaneous Leishmaniasis is endemic in certain areas of Pakistan, with the wet form of the disease being the most prevalent. It has a number of morphological variants, which are dependent on the immune status of the host, the subspecies of the Leishmania, and also, to some extent, on the site of involvement. We describe here a case of Leishmaniasis showing two very rare variants, whitlow and paronychial lesions, occurring concurrently with sporotrichoid spread. The patient responded to intramuscular sodium stibogluconate with resolution of the skin lesions.
Iftikhar
Nadia
N
Department of Dermatology, Military Hospital, Rawalpindi, Pakistan. nadia@marriala.net
Bari
Irfan
I
Ejaz
Amer
A
D000981:Antiprotozoal Agents / Q000627:therapeutic use; D001132:Arm / Q000382:microbiology; D017679:Cryotherapy; D005260:Female; D005385:Fingers / Q000469:parasitology*; D006801:Humans; D007273:Injections, Intramuscular; D016773:Leishmaniasis, Cutaneous / Q000175:diagnosis* / Q000628:therapy; D008536:Meglumine / Q000627:therapeutic use; D000077485:Meglumine Antimoniate; D008875:Middle Aged; D009942:Organometallic Compounds / Q000627:therapeutic use; D010154:Pakistan; D010304:Paronychia / Q000175:diagnosis* / Q000628:therapy; D013174:Sporotrichosis / Q000175:diagnosis* / Q000628:therapy
D000981:Antiprotozoal Agents; D009942:Organometallic Compounds; D008536:Meglumine; D000077485:Meglumine Antimoniate