A cutaneous leishmania case left a deep scar on the face and delayed at diagnosis

Abstract

Kutanoz leishmaniasis (KL), enfekte tatarciklarin deriden kan emerken bulastirdiklari leishmania turlerinin memeli konaklarda olusturduklari bir hastalik grubudur. Kutanoz morfolojideki cesitlilikten dolayi KL sik gorulen pek cok dermatozu taklit edebilmekte ve endemik olmayan bolgelerde tani ve tedavide yanilgilara yol acabilmektedir. Gereksiz cerrahi mudaheleler hastaligin alevlenmesine neden olmaktadir. KL lezyonlari siklikla kendiliginden gerileme egiliminde olsa da tedavisiz birakilan olgular bulas acisindan kaynak ve risk olusturdugundan ve kozmetik oneme sahip bolgelerde kotu gorunumde deriden cokuk skar olusumuna yol acabileceginden dolayi erken tani ve tedavi buyuk onem tasimaktadir. Bunun yani sira skar zemininde nadir de olsa bazal hucreli karsinom (BHK) ve skuamoz hucreli karsinom (SHK) gelisme riskinin olmasi da erken tani ve tedavinin onemini arttirmaktadir. Cutaneous leishmaniasis (CL) is a disease group created by leishmania species which are transmitted by infected sandflies while sucking blood from the skin in mammal hosts. Due to the variety in cutaneous morphology, CL can imitate several frequent dermatosis, and cause a fallacy in diagnosis and treatment in non-endemic regions. Unnecessary surgical interventions cause the disease to inflame. Cutaneous leishmania lesions deprived of the treatment pose a risk and source for infection. Moreover, untreated CL lesions can cause cutaneously pitted scar formation. Due to these reasons, early diagnosis and treatment have a great importance. Moreover, the risk of BCC and SCC development even rarely on scare basis increases the importance of early diagnosis and treatment.