Old World Cutaneous Leishmaniasis — photos

Symptoms and syndromes in photos

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Distribution Dermal leishmaniasis

Distribution Dermal leishmaniasis is essentially a zoonosis which occurs in scattered foci throughout the tropical and subtropical belts. Depending upon the locality it is known as Oriental sore, Aleppo button, Baghdad boil, Delhi sore, etc. Arid or even semi-desert terrain provides ideal habitats for the vector sandflies which spend the days in cool deep crevices in the ground, between rocks, in caves, cellars, house walls, etc.


Photo 1. Hyrax. The rock hyraxes shown here are a reservoir in Ethiopia of L. aethiopica. Various species of rodents, such as the great gerbil of Eastern Iran and neighbouring parts of the USSR {Rhombomys opimus) are important animal resevoirs of L. (tropica) major. In the Mediterranean littoral, dogs and wild carnivores may be infected with L. tropica (minor).

Simple 'dry' lesion on cheek.

Photo 2. Simple 'dry' lesion on cheek. L. tropica produces dry, often self-healing lesions which are usually single. This form is commonly seen in and around towns in the Middle and Near East.

Dry lesion on nose of woman in Southern France.

Photo 3. Dry lesion on nose of woman in Southern France. The cheek is more commonly involved than the nose.

Dry lesion on nose of woman in Southern France.

Photo 4. Typical healed oriental sore. An atrophic, papery, slightly depressed scar results when healing occurs.

'Wet' lesion of mouth.

Photo 5. 'Wet' lesion of mouth. In rural areas of USSR and Iran, moist, ulcerative lesions may be caused by L. major. These may be extensive and sometimes involve the epithelium of lips and nose.

'Wet' lesion of mouth.

Photo 6.Montenegro test.

Diagnosis may be assisted by the injection of an intra- dermal antigen prepared from cultured promastigotes of L. tropica or other dermatotropic species. This produces a typical cell-mediated response (Monte­negro test) in most cases of cutaneous disease. It is negative in the active stages

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