Abstract

ALDAMA, Arnaldo; GARCIA, Jesús Manuel; ALDAMA, Juan Guillermo  and  PEREIRA, José. Diffuse Cutaneous Leishmaniasis by Leishmania (Viannia) brasiliensis. About a case. An. Fac. Cienc. Méd. (Asunción) [online]. 2020, vol.53, n.2, pp.145-152. ISSN 1816-8949.  https://doi.org/10.18004/anales/2020.053.02.145.

Cutaneous or mucocutaneous leishmaniasis presents a variety of clinical forms, the most common being a molded ulcer.

A rare form is the so-called diffuse cutaneous leishmaniasis characterized by presenting papules, tubers, nodules, plaques and infiltration; initially located but with a tendency to progression, and may become widespread. It is a form not reported in Paraguay.

We present the case of an older adult woman, with plaques and nodules on both lower limbs, and whose smear and pathological anatomy confirmed the diagnosis of leishmaniasis. Clinically classified as diffuse cutaneous leishmaniasis, PCR and HRM were shown to be produced by Leishmania (Viannia) brasiliensis.

Keywords : Diffuse cutaneous leishmaniasis; diffuse cutaneous leishmaniasis due to Leishmania (Viannia) brasiliensis; diffuse cutaneous leishmaniasis in Paraguay..

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