Lip leishmaniasis: evaluation of 20 patients

Abstract

Objective Mucosal leishmaniasis (ML) is an important public health problem because it has a significant morbidity and mortality rate in undeveloped countries. In this study, clinical features of patients diagnosed with ML in Sanliurfa, an endemic region for leishmaniasis, were evaluated.

Methods In this retrospective study, patients admitted to the skin and venereal diseases clinics of two different training and research hospitals between May 2015 and September 2019 and diagnosed as ML by microscopic examination were included.

Results In this study, 446 patients with CL were retrospectively evaluated and 24 lesions of 20 patients with lip involvement were included. Of the 20 patients included in the study, 11 (55%) were male and 9 (45%) were female. Lesions were seen only in the lips in 15 (75%) patients, while additional skin involvement was present in 5 (25%) patients. None of the patients had gingival or genital involvement.

Conclusion In conclusion, ML should be considered when treatment resistant lesions develop in the labial region of the patients living in endemic areas or travelling to endemic areas and the diagnosis should be confirmed and treated early.

Keywords

• cutaneous leishmaniasis,mucosal leishmaniasis,lip

Dudakta leishmaniasis: 20 hastanın değerlendirilmesi

Abstract

Amaç Mukozal leishmaniasis (ML) gelişmemiş ülkelerde önemli bir morbidite ve mortalite oranına sahip olduğu için önemli bir halk sağlığı sorunudur. Bu çalışmada leishmaniasis için endemik bir bölge olan Şanlıurfa ilinde ML tanısı konulan hastaların klinik özellikleri değerlendirildi.

Yöntem Bu retrospektif çalışmamıza, iki ayrı eğitim ve araştırma hastanesinin deri ve zührevi hastalıkları kliniğine Mayıs 2015- Eylül 2019 tarihleri arasında başvuran ve mikroskobik incelemeyle ML tanısı konulan hastalar dahil edildi.

Bulgular Çalışmamızda 446 KL hastası retrospektif olarak incelendi, dudak mukozası tutulumu olan 20 hastanın 24 lezyonu dahil edildi. Çalışmaya katılan 20 hastanın 11‘i (%55) erkek, 9’u (%45) kadındı. 15(%75) hastada lezyonlar sadece dudaklarda görülürken, 5(%25) hastada ayrıca deri tutulumu da mevcuttu. Hiçbir hastada diş eti tutulumu ve genital bölge tutulumu yoktu.

Sonuç Sonuç olarak leishmaniasis için endemik olan bölgelerde yaşayan veya bu bölgelere seyahat eden kişilerde dudak bölgesinde tedaviye dirençli lezyonlar geliştiğinde ML düşünülmeli ve hastalığın tanısı doğrulanıp erken dönemde tedavi edilmelidir.

Keywords

• dudak,kutanöz leishmaniasis,mukozal leishmaniasis

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