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Cutaneous leishmaniasis with unusual presentation
M L Khatri
SMS Ltd Saudi Hospital at Hajjah P.O. Box 2757, Sana’a. Republic of Yemen
|How to cite this article:
Khatri M L, Shafi M, Banghazil M. Cutaneous leishmaniasis with unusual presentation. Indian J Dermatol Venereol Leprol 1999;65:140-142
Three cases of cutaneous leishmaniasis with unusual presentation seen at Central Hospital Tripoli, Libya are described. Case No. 1 and 2 had 102 and 109 noduloulcerative lesions with generalized almost bilaterally symmetrical distribution, suggestive of dissemination. Case No.3 had large verrucous carcinoma but histopathology suggested lupoid (chronic cutaneous) leishmaniasis. Patient No. 2 developed hypersensitivity reaction to sodium stibogluconate after 10 days but responded well to the treatment. Case No.2 did not tolerate the above treatment and was treated successfully with combination of rifampicin and INH. Case No.3 was treated successfully with liquid nitrogen cryotherapy given by Cryosurg-Frigitonics, using special open probes.