Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-23T18:49:29.907Z Has data issue: false hasContentIssue false

Auricular cutaneous leishmaniasis mimicking neoplastic disease

Published online by Cambridge University Press:  15 June 2012

Ö Tarkan*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, Cukurova University, Adana, Turkey
F Çetİk
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, Cukurova University, Adana, Turkey
S Uzun
Affiliation:
Department of Dermatology, Faculty of Medicine, Cukurova University, Adana, Turkey
*
Address for correspondence: Dr Özgür Tarkan, Cukurova University Faculty of Medicine, Department of Otolaryngology-Head and Neck Surgery, Adana, Turkey Fax: +90 322 3386639 E-mail: [email protected]

Abstract

Objective:

Leishmaniasis comprises a group of diseases transmitted by the bite of infected sand flies. There are three basic clinical forms of leishmaniasis: cutaneous, mucocutaneous and visceral. Leishmaniasis may mimic neoplastic lesions and other infectious diseases because of similar disease localisation, physical characteristics and histopathological findings.

Case report:

A 35-year-old man was referred to our clinic with a presumed diagnosis of angiolymphoid hyperplasia of the auricle; however, this lesion proved to be cutaneous leishmaniasis. The definitive diagnosis was reached by identifying the parasites on smears obtained from the lesion.

Conclusion:

It should be borne in mind that cutaneous leishmaniasis presenting as isolated auricular lesions may mimic neoplasia. In the present case report, we discuss auricular cutaneous leishmaniasis and we review the relevant literature.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Herwaldt, BL. Leishmaniasis. Lancet 1999;354:1191–9CrossRefGoogle ScholarPubMed
2 Desjeux, P. Leishmaniasis: current situation and new perspectives. Comp Immunol Microbiol Infect Dis 2004;27:305–18CrossRefGoogle ScholarPubMed
3 Uzun, S, Uslular, C, Yücel, A, Acar, MA, Ozpoyraz, M, Memisoglu, HR. Cutaneous leishmaniasis: evaluation of 3,074 cases in the Cukurova region of Turkey. Br J Dermatol 1999;140:347–50Google Scholar
4 David, CV, Craft, N. Cutaneous and mucocutaneous leishmaniasis. Dermatol Ther 2009;22:491502 Google Scholar
5 Murray, HW, Berman, JD, Davies, CR, Saravia, NG. Advances in leishmaniasis. Lancet 2005;366:1561–77Google Scholar
6 Davies, CR, Kaye, P, Croft, SL, Sundar, S. Leishmaniasis: new approaches to disease control. BMJ 2003;326:377–82CrossRefGoogle ScholarPubMed
7 Alptekin, D, Kasap, M, Lüleyap, Ü. Sandflies associated with epidemic cutaneous leishmaniasis in Sanlıurfa, Turkey. Acta Parasitol Turcica 1997;21:168Google Scholar
8 Martinelli, C, Giorgini, S, Minu, MB, Orsi, A, Leoncini, F. Cutaneous leishmaniasis: an atypical case. Int J Dermatol 2005;44:3840 Google Scholar
9 Akman, A, Homan, S, Eryilmaz, A. Cutaneous leishmaniasis: The great imitator. 3rd Congress of the Mediterranean Association of Dermatology Abstract Book: 2001 May; 23-27; Antalya.Google Scholar
10 al-Gindan, Y, Kubba, R, el-Hassan, AM, Omer, AH, Kutty, MK, Saeed, MB. Dissemination in cutaneous leishmaniasis. 3. Lymph node involvement. Int J Dermatol 1989;28:248–54Google Scholar
11 Sabri, A, Khatib, L, Kanj-Sharara, S, Husseini, ST, Nuwayri-Salti, N, Semaan, R et al. Leishmaniasis of the auricle mimicking carcinoma. Am J Otolaryngol 2009;30:285–7Google Scholar
12 Maurer, M, Dondji, B, von Stebut, E. What determines the success or failure of intracellular cutaneous parasites? Lessons learned from leishmaniasis. Med Microbiol Immunol 2009;198:137–46Google Scholar
13 Magill, AJ. Leishmaniasis. In: Hunter, GW, Strickland, GT, eds. Hunter's Tropical Medicine and Emerging Infectious Diseases, 8th edn. Philadelphia: Saunders, 2000;665–87Google Scholar
14 Uzun, S, Acar, MA, Uslular, C, Kavukcu, H, Aksungur, VL, Culha, G. Uncommon presentation of cutaneous leishmaniasis as eczema-like eruption. J Eur Acad Dermatol Venereol 1999;12:266–8Google Scholar
15 Abrahamson, TG, Davis, DA. Angiolymphoid hyperplasia with eosinophilia responsive to pulsed dye laser. J Am Acad Dermatol 2003;49:195–6Google Scholar
16 Weina, PJ, Neafie, RC, Wortmann, G, Polhemus, M, Aronson, NE. Old world leishmaniasis: an emerging infection among deployed US military and civilian workers. Clin Infect Dis 2004;39:1674–80CrossRefGoogle ScholarPubMed
17 Uzun, S, Durdu, M, Culha, G, Allahverdiyev, AM, Memisoglu, HR. Clinical features, epidemiology and efficacy and safety of intralesional antimony treatment of cutaneous leishmaniasis: recent experience in Turkey. J Parasitol 2004;90:853–9Google Scholar