title: Lesson of the month 2: Chronic erythematous painless plaque on the eyelid co-presenting with multiple ulcerated nodules on the extremities.
abstract: Cutaneous leishmaniasis is a parasitic disease caused by the Leishmania species, transmitted by the bite of an infected sandfly. The typical cutaneous lesion is a painless ulcer with a raised, indurated margin and often covered with an adherent crust. The lesions are mostly located on exposed sites such as the face and the extremities. Eyelid involvement is rare, making up only 2-5% of cases with facial cutaneous leishmaniasis. Herein, we report a 50-year-old male who presented with an erythematous plaque on the upper eyelid and multiple ulcerated nodules located on the extremities. Following microscopic examination of the lesional smear, a diagnosis of cutaneous leishmaniasis was made, and the patient was successfully treated with intramuscular meglumine antimonate therapy.
authors.affiliation: Department of Ophthalmology, School of Medicine, Afyon Kocatepe University, Afyonkarahisar, Turkey resatduman@gmail.com.
authors.forename: Reșat
authors.initials: R
authors.lastname: Duman
authors.affiliation: Department of Dermatology, School of Medicine, Afyon Kocatepe University, Afyonkarahisar, Turkey.
authors.forename: Nilay
authors.initials: N
authors.lastname: Duman
authors.affiliation: Department of Ophthalmology, School of Medicine, Afyon Kocatepe University, Afyonkarahisar, Turkey.
authors.forename: Güliz Fatma
authors.initials: GF
authors.lastname: Yavaș
authors.affiliation: Department of Ophthalmology, School of Medicine, Afyon Kocatepe University, Afyonkarahisar, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Doğan
authors.affiliation: Department of Ophthalmology, Bursa evket Yılmaz Training and Research Hospital, Bursa, Turkey resatduman@gmail.com.
authors.forename: Rahmi
authors.initials: R
authors.lastname: Duman
mesh_terms: D004890:Erythema / Q000469:parasitology* / Q000473:pathology; D005143:Eyelids / Q000469:parasitology* / Q000473:pathology; D005528:Foot / Q000469:parasitology / Q000473:pathology; D006801:Humans; D007866:Leg / Q000469:parasitology / Q000473:pathology; D016773:Leishmaniasis, Cutaneous / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D012883:Skin Ulcer / Q000469:parasitology* / Q000473:pathology
keywords: eyelid; leishmaniasis; sandfly; ulcer