Cutaneous leishmaniasis of the eyelids: Retrospective evaluation of 18 patients.

Northern clinics of Istanbul Pub Date : 2023-08-25 eCollection Date: 2023-01-01 DOI:10.14744/nci.2023.71205
Armagan Ozgur, Isa An
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Abstract

Objective: Although eyelid involvement is rare in cutaneous leishmaniasis (CL), it can cause severe ocular complications if the diagnosis is delayed and not treated. Our purpose in this study is to examine the clinical characteristics, diagnosis, and treatment methods as well as accompanying ocular complications in patients with CL diagnosis and eyelid involvement.

Methods: In this retrospective study, the clinical characteristics, diagnosis, and treatment methods of the disease as well as accompanying ocular complications were examined for 18 patients with CL diagnosis and eyelid involvement between May 2018 and October 2022 in our Dermatology and venereal diseases clinic.

Results: 10 (55%) of the patients were male and 8 (45%) were female. Unilateral lower eyelid involvement was most common (9 patients [50%]). Chalazion-like lesions (8 patients [45%]) were observed most commonly. All patients were diagnosed with CL by direct microscopic examination and were given systemic meglumine antimonate treatment. No ocular complications were observed in any of the patients.

Conclusion: It should be kept in mind that eyelid involvement may occur in CL, and ophthalmological examinations of these cases should be performed and treatment should be initiated in the early period to prevent possible ocular complications.

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眼睑皮肤利什曼病:18例患者的回顾性评价。
目的:尽管眼睑受累在皮肤利什曼病(CL)中很少见,但如果诊断延迟且不治疗,可能会导致严重的眼部并发症。我们在本研究中的目的是检查CL诊断和眼睑受累患者的临床特征、诊断和治疗方法以及伴随的眼部并发症。方法:在这项回顾性研究中,我们对2018年5月至2022年10月在我们的皮肤性病诊所诊断为CL并累及眼睑的18名患者的临床特征、诊断、治疗方法以及伴随的眼部并发症进行了检查。结果:男性10例(55%),女性8例(45%)。单侧下眼睑受累最为常见(9例[50%])。Chalazion样病变(8例[45%])最常见。所有患者均通过直接显微镜检查诊断为CL,并给予全身锑酸葡胺治疗。未观察到任何患者出现眼部并发症。结论:CL可能发生眼睑受累,应注意对这些病例进行眼科检查,并在早期开始治疗,以防止可能的眼部并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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