title: Unusual presentation of disseminated cutaneous leishmaniasis due to Leishmania major: case reports of four Iranian patients.
abstract: We report four disseminated cutaneous leishmaniasis(DCL) cases referred to leishmaniasis laboratory at the School of Public Health, Tehran University of Medical Sciences with multiple nodular, ulcerative and crusted lesions extended on the face, trunk, and extremities. None of the patients had any complication and historical involvement in their immunological system conditions that suggest as the criteria for DCL. Direct smears of ulcers were positive for Leishmania parasite. The parasite was isolated from the active lesions and identified as Leishmania major (L. major) using PCR-RFLP assay and sequencing analysis.
authors.affiliation: Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: H
authors.initials: H
authors.lastname: Hajjaran
authors.forename: M
authors.initials: M
authors.lastname: Mohebali
authors.forename: A A
authors.initials: AA
authors.lastname: Akhavan
authors.forename: A
authors.initials: A
authors.lastname: Taheri
authors.forename: B
authors.initials: B
authors.lastname: Barikbin
authors.forename: S
authors.initials: S
authors.lastname: Soheila Nassiri
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D018320:Leishmania major; D016773:Leishmaniasis, Cutaneous / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D014344:Trypanocidal Agents / Q000627:therapeutic use
chemical_list: D014344:Trypanocidal Agents