唇部利什曼病伴口腔粘膜累及1例报告

J. Sarabadani, Ali Labafchi
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引用次数: 1

摘要

问题说明:如今,利什曼病是世界上一种常见的传染病,由一种名为利什曼原虫的原生动物寄生虫引起。这种寄生虫通过受感染的雌性沙蝇传播给人类。这种疾病有三种临床表现;粘膜形态在伊朗很少见。目的:本研究的目的是报告一例利什曼病的嘴唇和口腔粘膜累及愈合成功。结果:本组病例为累及口腔黏膜的唇部利什曼病,临床表现为右下唇红唇及颊黏膜弥漫性肿胀及溃疡。涂片证实了利什曼病的诊断。此后,患者被转介给皮肤科医生治疗,随访显示病变完全愈合。结论:口腔粘膜利什曼病少见。然而,肿胀可能引起不同的并发症,如牙齿脱落或呼吸阻塞。需要注意的是,时间是治疗的关键点。因此,我们有必要对牙医进行口腔慢性溃疡性病变鉴别诊断的培训。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lip Leishmaniasis with Oral-mucosal Involvement: A Case Report
Statement of the problem: Nowadays leishmaniasis is a common infectious disease around the world which is caused by a protozoan parasite named Leishmania. This parasite is transmitted to human by an infected female sand fly. This disease has three clinical forms; mucosal forms are rare in Iran. Purpose: The purpose of this study was to report a case of leishmaniasis with lip and oral mucosal involvement that healed successfully. Results: This article is about patients with lip leishmaniasis with oral-mucosal involvement, clinical features were diffuse lip swelling and ulcer in right lower lip vermilion and buccal mucosa. A smear was caught which proved the diagnosis of leishmaniasis. Thereafter, the patients were referred to a dermatologist for treatment and follow up showed complete healing of the lesions. Conclusion: Oral mucosal leishmaniasis is rare. However, the swelling may cause different complications like loss of teeth or respiratory obstruction. It should be noted that time is a key point in treatment.  So, it is necessary for us to train the differential diagnosis of chronic ulcerated oral lesions to our dentists.
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