Journal Information
Vol. 108. Issue 5.
Pages 474 (June 2017)
Vol. 108. Issue 5.
Pages 474 (June 2017)
Images in Dermatology
DOI: 10.1016/j.adengl.2017.03.022
Full text access
Long-standing Erythematous Plaque in a Perianal Skin Fold
Placa eritematosa en pliegue perianal de años de evolución
Visits
...
I. Pérez-López
Corresponding author
ipl_elmadrono@hotmail.com

Corresponding author.
, G. Blasco-Morente, A. Martínez-López, S. Arias-Santiago
Unidad de Gestión Clínica de Dermatología Médico-Quirúrgica y Venereología, Hospital Universitario Virgen de las Nieves, Granada, Spain
Article information
Full Text
Download PDF
Statistics
Figures (1)
Full Text

The patient was an 80-year old man. His relevant past history included long-standing rheumatoid arthritis treated with methotrexate. He consulted for a pruritic lesion that had arisen 2 years earlier in the intergluteal fold and that had deteriorated in the previous months. The lesion had been treated with intermittent courses of topical and oral corticosteroids, with no improvement. Physical examination revealed an infiltrated lichenified erythematous plaque that affected the whole of the intergluteal fold (Fig. 1). Skin biopsy was reported as leishmaniasis. With this diagnosis, and after excluding systemic involvement, treatment was started with intralesional meglumine antimonate (Glucantime), 2.5mL, with dose reduction as lesion size decreased. After 8 weekly injections, the patient was asymptomatic. Polymerase chain reaction on a new biopsy was negative for Leishmania, guaranteeing resolution of the condition.

Figure 1
(0.14MB).

Leishmaniasis is a group of diseases caused by protozoa of the genus Leishmania. It is transmitted to humans by the bite of female mosquitoes of the genus Phlebotomus. Clinical presentation is very variable, from cutaneous forms with a single lesion (oriental sore), to visceral systemic forms and kala-azar. The prognosis and treatment depend on the form of presentation.

Please cite this article as: Pérez-López I, Blasco-Morente G, Martínez-López A, Arias-Santiago S. Placa eritematosa en pliegue perianal de años de evolución. Actas Dermosifiliogr. 2017;108:473.

Copyright © 2016. Elsevier España, S.L.U. and AEDV
Idiomas
Actas Dermo-Sifiliográficas (English Edition)

Subscribe to our newsletter

Article options
    NOTICE Undefined index: tipo (includes_ws_v2/librerias/html/item.php[1273])
    NOTICE Undefined index: tipo (includes_ws_v2/librerias/html/item.php[1273])
    NOTICE Undefined index: tipo (includes_ws_v2/librerias/html/item.php[1273])
    NOTICE Undefined index: tipo (includes_ws_v2/librerias/html/item.php[1273])
  • Additional material
Tools
NOTICE Undefined index: tipo (includes_ws_v2/librerias/html/item.php[1273])
NOTICE Undefined index: tipo (includes_ws_v2/librerias/html/item.php[1273])
NOTICE Undefined index: tipo (includes_ws_v2/librerias/html/item.php[1273])
NOTICE Undefined index: tipo (includes_ws_v2/librerias/html/item.php[1273])
Supplemental materials
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.