Document Detail

Auricular leishmaniasis mimicking squamous cell carcinoma.
MedLine Citation:
PMID:  18954494     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: We report a rare case of auricular involvement by leishmaniasis, in order to demonstrate the importance of thorough investigation of cutaneous head and neck lesions, and also the importance of inclusion of infections such as leishmaniasis in the differential diagnosis of auricular lesions, especially in endemic areas. CASE HISTORY: A 42-year-old man with multiple lesions on his head, neck and hands was referred to our centre. He had the following lesions: a painful, crusted, 8 x 8 cm plaque with indurated margins on the left parotid region and auricle; a red papule on the right temporal region; an ulcerative lesion on the skin overlying the proximal interphalangeal joint of the fifth finger of the right hand; and a bluish papule on the neck. Although histopathological examination of the Geimsa-stained specimen was misleading, a direct smear prepared from biopsies showed amastigotes, and therapy resulted in complete recovery. CONCLUSION: Leishmaniasis can be both under- or over-diagnosed. Especially in endemic areas, parasitic causes of chronic infections should always be kept in mind.
M-T Khorsandi-Ashtiani; M Hasibi; N Yazdani; J A Paydarfar; F Sadri; F Mirashrafi; Ali Kouhi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-10-28
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  123     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-23     Completed Date:  2010-01-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  915-8     Citation Subset:  AIM; IM    
Department of Otolaryngology, Head and Neck Surgery, Otorhinolaryngology Research Center, Amir-A'lam Hospital, Medical Sciences/University of Tehran, Tehran, Iran.
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MeSH Terms
Carcinoma, Squamous Cell / pathology*
Diagnosis, Differential
Ear Neoplasms / pathology*
Leishmaniasis, Cutaneous / pathology*
Skin Neoplasms / pathology*

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