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Paper Information

Journal:   IRANIAN JOURNAL OF DERMATOLOGY   WINTER 2008 , Volume 10 , Number 4 (42); Page(s) 290 To 300.
 
Paper: 

CLINICAL FEATURES CUTANEOUS LEISHMANIASIS IN ISFAHAN

 
 
Author(s):  HEJAZI S.H.A.D.*, DABIRZADEH M., MIRMOHAMMAD SADEGHI HAMID, NILFOROUSHZADEH MOHAMMAD ALI, BAGHAEI M.
 
* DEPARTMENT OF PARASITOLOGY AND MYCOLOGY, ISFAHAN UNIVERSITY OF MEDICAL SCIENCES
 
Abstract: 
Background and aim: Isfahan is one of the most important endemic areas of zoonotic cutaneous leishmaniasis (ZCL) in Iran. The objective of this study was to present different clinical pictures of ZCL and to identify the responsible Leishmania species using polymerase chain reaction (PCR).
Materials and methods: This cross-sectional, descriptive-analytic study was performed from September 2006 to February 2007, in skin Disease and Leishmania Research Center, which is a referal center for leishmaniasis. Among 440 suspected patients, Leishmania promastigotes were isolated from 3Iatypical and 60 classic CL lesions and identified using Permissively Primed Polymorphic-PCR method.
Results: From a total of 600 observed patients, 440 were parasitologically proved using direct smear, 409 patients (92.9%) showed typical clinical picture of volcano-shape and 31 (7.1%) of patients showed atypical forms. PCR method identified all isolates as L.major.
Conclusion: ZCL lesions may present with various clinical manifestations in the same endemic area, which limits the identification of responsible parasite based on clinical features. The reasons for diversities in clinical pictures are not yet known.
 
Keyword(s): LEISHMANIASIS, LEISHMANIASIS SPECIES IDENTIFICATION, CLINICAL PICTURE
 
References: 
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