title: [Ankle and foot ulcerations in a diabetic patient revealing cutaneous leishmaniasis].
abstract: BACKGROUND
  Cutaneous leishmaniasis is a parasitic disease that typically manifests as a typical crusted ulcer called the oriental sore. Its localization on the lower limbs can be mistaken for a leg ulcer.
  
  
  METHODS
  An 81-year-old male, native of Algeria, with type 2 diabetes, arterial hypertension and arteriopathy developed a chronic ulceration of the right ankle and foot compatible with the diagnosis of infectious diabetic foot. Non-improvement with antibiotics, local treatment and rest, and the absence of any hemodynamic arteriopathy led to skin biopsies. Polymerase chain reaction performed on biopsy samples for parasitological investigations yielded the diagnosis of cutaneous leishmaniasis due to Leishmania major. Complete healing was obtained with topical care alone, the patient having declined an etiological treatment.
  
  
  CONCLUSIONS
  Cutaneous leishmaniasis is one of the rare infectious etiologies of chronic leg ulcers. Several therapeutic options, including abstention, can be proposed.
authors.affiliation: Service de médecine vasculaire, groupe hospitalier Paris Saint-Joseph, 185, rue Raymond-Losserand, 75674 Paris cedex 14, France.
authors.forename: J
authors.initials: J
authors.lastname: Niclot
authors.affiliation: Service de médecine vasculaire, groupe hospitalier Paris Saint-Joseph, 185, rue Raymond-Losserand, 75674 Paris cedex 14, France. Electronic address: astansal@hpsj.fr.
authors.forename: A
authors.initials: A
authors.lastname: Stansal
authors.affiliation: Service de médecine vasculaire, groupe hospitalier Paris Saint-Joseph, 185, rue Raymond-Losserand, 75674 Paris cedex 14, France.
authors.forename: I
authors.initials: I
authors.lastname: Lazareth
authors.affiliation: Service de médecine vasculaire, groupe hospitalier Paris Saint-Joseph, 185, rue Raymond-Losserand, 75674 Paris cedex 14, France.
authors.forename: A
authors.initials: A
authors.lastname: Galloula
authors.affiliation: Service d'anatomopathologie, groupe hospitalier Paris Saint-Joseph, 185, rue Raymond-Losserand, 75674 Paris cedex 14, France.
authors.forename: V
authors.initials: V
authors.lastname: Duchatelle
authors.affiliation: Service d'anatomopathologie, groupe hospitalier Paris Saint-Joseph, 185, rue Raymond-Losserand, 75674 Paris cedex 14, France.
authors.forename: A
authors.initials: A
authors.lastname: Laurent-Bellue
authors.affiliation: Service de médecine vasculaire, groupe hospitalier Paris Saint-Joseph, 185, rue Raymond-Losserand, 75674 Paris cedex 14, France.
authors.forename: P
authors.initials: P
authors.lastname: Priollet
mesh_terms: D000287:Administration, Topical; D000369:Aged, 80 and over; D000462:Algeria / Q000208:ethnology; D000842:Ankle; D000977:Antiparasitic Agents / Q000008:administration & dosage; D001706:Biopsy; D048909:Diabetes Complications / Q000469:parasitology*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000469:parasitology; D017719:Diabetic Foot; D003937:Diagnosis, Differential; D016523:Foot Ulcer / Q000150:complications / Q000469:parasitology; D005602:France; D006801:Humans; D007871:Leg Ulcer / Q000150:complications / Q000469:parasitology*; D018320:Leishmania major / Q000235:genetics / Q000302:isolation & purification; D016773:Leishmaniasis, Cutaneous / Q000150:complications* / Q000188:drug therapy / Q000469:parasitology; D008297:Male; D016133:Polymerase Chain Reaction; D012867:Skin / Q000469:parasitology
chemical_list: D000977:Antiparasitic Agents
keywords: Cutaneous leishmaniasis; Diabetes; Diabète; Leg ulcer; Leishmaniose cutanée; Ulcère de jambe