| Treatment of cutaneous leishmaniasis recidivans with a combination of allopurinol and meglumine antimoniate: a clinical and histologic study. | |
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MedLine Citation:
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PMID: 17651170 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Cutaneous leishmaniasis (CL) is an endemic disease in Iran, particularly in Kerman Province. Leishmaniasis recidivans (LR) is one of the characteristics of this disease with a chronic course. Most patients with LR are resistant to the usual treatments. METHODS: Thirty-two patients (18 females and 14 males), suffering from LR, whose disease had been demonstrated by previous direct smears or skin biopsies, were included in this study in Kerman. The duration of disease in all patients was more than 1.5 years, and they had all previously received various drugs for their disease. All patients were treated with a combination of oral allopurinol (20 mg/kg for 30 days) and intramuscular injection of meglumine antimoniate (50 mg/kg for 15 days) and were followed up for 2 years. Skin biopsies were obtained from the skin lesions of nine cases at the beginning (baseline), during, and end of therapy. All patients were checked for complete blood count (CBC) and liver and kidney function tests on the first and last day of treatment. RESULTS: All patients, except two (87.5%), responded well to treatment within 30 days. No significant side-effects were observed. The disease of two patients (Cases 24 and 28) recurred 6 and 13 months after treatment, respectively. Histologic examination of nine cases during and at the end of therapy showed a progression to atrophied granulomata, more lymphocytic than histiocytic infiltration, and, finally, fibrosis replacing the granulomata. CONCLUSIONS: From the results of this study, a combination of allopurinol plus meglumine antimoniate may be considered as a highly effective treatment for LR. |
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Authors:
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Iraj Esfandiarpour; Shahriar H Dabiri |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International journal of dermatology Volume: 46 ISSN: 0011-9059 ISO Abbreviation: Int. J. Dermatol. Publication Date: 2007 Aug |
Date Detail:
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Created Date: 2007-07-26 Completed Date: 2007-10-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0243704 Medline TA: Int J Dermatol Country: United States |
Other Details:
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Languages: eng Pagination: 848-52 Citation Subset: IM |
Affiliation:
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Department of Dermatology, Afzalipour Hospital, Kerman, Iran. irajesfandiar@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Allopurinol / therapeutic use* Animals Antimetabolites / therapeutic use* Antiprotozoal Agents / therapeutic use* Child Child, Preschool Drug Therapy, Combination Face / pathology Female Humans Leishmaniasis, Cutaneous / drug therapy*, pathology Male Meglumine / therapeutic use* Middle Aged Organometallic Compounds / therapeutic use* Recurrence Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Antimetabolites; 0/Antiprotozoal Agents; 0/Organometallic Compounds; 133-51-7/meglumine antimoniate; 315-30-0/Allopurinol; 6284-40-8/Meglumine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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