Tegumentary leishmaniasis mimicking visceralization in a cirrhotic patient: atypical cutaneous lesions and local immunological features
Abstract Tegumentary leishmaniasis (TL) diagnosis is challenging due to the lack of a gold standard diagnostic tool. The diagnosis is significantly harder in regions where visceral leishmaniasis (VL) is also prevalent since immunological tests may present cross-reactivity. A cirrhotic patient from a...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Medicina Tropical (SBMT)
2020-01-01
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| Series: | Revista da Sociedade Brasileira de Medicina Tropical |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100706&tlng=en |
| _version_ | 1828840184893931520 |
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| author | Sebastian Vernal Yuri Casal Lucas T. Vieira Valdir S. Amato María Irma S. Duarte Ana Catharina S.S. Nastri |
| author_facet | Sebastian Vernal Yuri Casal Lucas T. Vieira Valdir S. Amato María Irma S. Duarte Ana Catharina S.S. Nastri |
| author_sort | Sebastian Vernal |
| collection | DOAJ |
| description | Abstract Tegumentary leishmaniasis (TL) diagnosis is challenging due to the lack of a gold standard diagnostic tool. The diagnosis is significantly harder in regions where visceral leishmaniasis (VL) is also prevalent since immunological tests may present cross-reactivity. A cirrhotic patient from an endemic Brazilian region for TL and VL presented with atypical cutaneous lesions, a usual clinico-laboratory feature of VL (including a positive rk39 test result), but he was diagnosed with TL histopathologically; VL was ruled out by necropsy. Physicians working in co-prevalent areas should be aware of atypical features, unusual clinical course, and unexpected laboratory findings of leishmaniasis. |
| first_indexed | 2024-12-12T19:37:28Z |
| format | Article |
| id | doaj.art-728f757d04b347adb3103138b77faea0 |
| institution | Directory Open Access Journal |
| issn | 1678-9849 |
| language | English |
| last_indexed | 2024-12-12T19:37:28Z |
| publishDate | 2020-01-01 |
| publisher | Sociedade Brasileira de Medicina Tropical (SBMT) |
| record_format | Article |
| series | Revista da Sociedade Brasileira de Medicina Tropical |
| spelling | doaj.art-728f757d04b347adb3103138b77faea02022-12-22T00:14:16ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492020-01-015310.1590/0037-8682-0380-2019Tegumentary leishmaniasis mimicking visceralization in a cirrhotic patient: atypical cutaneous lesions and local immunological featuresSebastian Vernalhttps://orcid.org/0000-0001-8589-0089Yuri CasalLucas T. VieiraValdir S. AmatoMaría Irma S. DuarteAna Catharina S.S. NastriAbstract Tegumentary leishmaniasis (TL) diagnosis is challenging due to the lack of a gold standard diagnostic tool. The diagnosis is significantly harder in regions where visceral leishmaniasis (VL) is also prevalent since immunological tests may present cross-reactivity. A cirrhotic patient from an endemic Brazilian region for TL and VL presented with atypical cutaneous lesions, a usual clinico-laboratory feature of VL (including a positive rk39 test result), but he was diagnosed with TL histopathologically; VL was ruled out by necropsy. Physicians working in co-prevalent areas should be aware of atypical features, unusual clinical course, and unexpected laboratory findings of leishmaniasis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100706&tlng=enLeishmaniasisCutaneous LeishmaniasisVisceral Leishmaniasis |
| spellingShingle | Sebastian Vernal Yuri Casal Lucas T. Vieira Valdir S. Amato María Irma S. Duarte Ana Catharina S.S. Nastri Tegumentary leishmaniasis mimicking visceralization in a cirrhotic patient: atypical cutaneous lesions and local immunological features Revista da Sociedade Brasileira de Medicina Tropical Leishmaniasis Cutaneous Leishmaniasis Visceral Leishmaniasis |
| title | Tegumentary leishmaniasis mimicking visceralization in a cirrhotic patient: atypical cutaneous lesions and local immunological features |
| title_full | Tegumentary leishmaniasis mimicking visceralization in a cirrhotic patient: atypical cutaneous lesions and local immunological features |
| title_fullStr | Tegumentary leishmaniasis mimicking visceralization in a cirrhotic patient: atypical cutaneous lesions and local immunological features |
| title_full_unstemmed | Tegumentary leishmaniasis mimicking visceralization in a cirrhotic patient: atypical cutaneous lesions and local immunological features |
| title_short | Tegumentary leishmaniasis mimicking visceralization in a cirrhotic patient: atypical cutaneous lesions and local immunological features |
| title_sort | tegumentary leishmaniasis mimicking visceralization in a cirrhotic patient atypical cutaneous lesions and local immunological features |
| topic | Leishmaniasis Cutaneous Leishmaniasis Visceral Leishmaniasis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100706&tlng=en |
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