title: Case report: Leishmaniasis of the upper lip.
abstract: We report a case of leishmaniasis localized to the upper lip in a 77-year-old Italian man. The disease was characterized by a severe swelling which involved the right side of the upper lip. The swelling was slightly erythematous with crusts and scaling. Consistency was parenchymatous-hard. The lesion was asymptomatic. Histopathologic examination showed an inflammatory infiltrate consisting of lymphocytes, histiocytes, and plasma cells. Several Leishmania spp. amastigotes were observed in the cytoplasm of macrophages. Cultural examination on Novy-MacNeal-Nicolle medium was positive for Leishmania spp. Polymerase chain reaction was positive for Leishmania infantum. The patient was treated with i.m. N-methylglucamine antimonate, with complete remission in approximately 6 weeks. During follow-up of 9 months, no relapses were observed.
authors.affiliation: Institute of Dermatological Sciences, University of Milan, Milan, Italy. stefano.veraldi@unimi.it
authors.forename: Stefano
authors.initials: S
authors.lastname: Veraldi
authors.forename: Silvia
authors.initials: S
authors.lastname: Bottini
authors.forename: Maria Chiara
authors.initials: MC
authors.lastname: Persico
authors.forename: Luisa
authors.initials: L
authors.lastname: Lunardon
mesh_terms: D000368:Aged; D000981:Antiprotozoal Agents / Q000627:therapeutic use*; D003937:Diagnosis, Differential; D006801:Humans; D016773:Leishmaniasis, Cutaneous / Q000188:drug therapy / Q000473:pathology*; D008046:Lip / Q000473:pathology*; D008047:Lip Diseases / Q000188:drug therapy / Q000473:pathology*; D008297:Male; D008536:Meglumine / Q000627:therapeutic use*; D000077485:Meglumine Antimoniate; D009942:Organometallic Compounds / Q000627:therapeutic use*
chemical_list: D000981:Antiprotozoal Agents; D009942:Organometallic Compounds; D008536:Meglumine; D000077485:Meglumine Antimoniate