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Two cases of imported cutaneous leishmaniasis in Korea
Tae Young Yun,Hee Chul Eun,Yoo Shin Lee,Je Geun Chi,*Eui Keun Ham,*Sung Tae Hong,** and Soon Hyung Lee**
Department of Dermatology, College of Medicine, Seoul National University, Seoul 110, Korea.
*Department of Pathology, College of Medicine, Seoul National University, Seoul 110, Korea.
**Department of Parasitology, College of Medicine, Seoul National University, Seoul 110, Korea.
Abstract
Two Korean men who had worked in Saudi Arabia complained of skin ulcers in the right wrist for 5 months or in the face and left forearm for 4 months each. Ulcers accompanying crust was observed in both cases. The characteristic cellular destruction and amastigote in the cytoplasm of histiocyte supported the diagnosis of cutaneous leishmaniasis. Those are 17th and 18th imported cases of cutaneous leishmaniasis in Korea(summarized from text).
Figures
Figs. 1-6 Fig. 1. Gross view of skin lesion with crust formation on right wrist of the first case.
Fig. 2. Incisional skin biopsy of the first case. The epidermis shows hyperkeratosis and mild acanthosis (Fig. 2A). Heavy inflammatory exudate including necrotic centers which are surrounded by the histiocytes is observed in the dermis (Fig. 2B). Hematoxylin & eosin(HE) stained, 2A×40, 2B×100.
Fig. 3. Higher magnification of histiocytic zone of the skin lesion of the first case, showing numerous intracellular amastigotes (arrows), which are of ovoid or ellipsoid shape with definite kinetoplast, HE stained, ×1,000.
Fig. 4. Skin lesion on the forearm with curst of the second case.
Fig. 5. The lesion on face of the second case.
Fig. 6. Numerous amastigotes (leishman bodies) in the cytoplasm of the plump histiocytes in the biopsyed skin of the second case, HE stained, ×360.
References
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Chi JG, Shong YK, Hong ST, Lee SH, Seo BS, Choe KW. An Imported Case Of Kala-Azar In Korea. Korean J Parasitol 1983;21(1):87–94.
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Yoo TY, et al. Korean J Dermatol 1978;16(6):477–486.
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