Author/Authors :
Kiafar, Bita Assistant Professor of Dermatology - Cutaneous Leishmaniasis Research Center - Emam Reza Hospital - School of Medicine - Mashhad University of Medical Sciences, Mashhad , Taheri, Ahmad Reza Assistant Professor of Dermatology - Cutaneous Leishmaniasis Research Center - Emam Reza Hospital - School of Medicine - Mashhad University of Medical Sciences, Mashhad , Mashayekhi, Vahid Assistant Professor of Dermatology - Cutaneous Leishmaniasis Research Center - Emam Reza Hospital - School of Medicine - Mashhad University of Medical Sciences, Mashhad , Nikandish, Malihe Ophthalmologist - Cornea and Anterior Segment Fellowship - Khatam-al-Anbia Eye Hospital - Mashhad University of Medical Sciences, Mashhad
Abstract :
Purpose: To introduce a case of cutaneous and lid leishmaniasis in an immune suppressed woman
Case report: We report an unusual clinical course of old world cutaneous leishmaniasis (OWCL) in
an immune suppressed 51 years old women recipient of kidney transplant. She developed
disseminated cutaneous leishmaniasis (DCL) with bilateral upper and lower eye lids lesions.
Antimoniate compounds were not available and she did not tolerate amphotricin B. After replacing
mycophenolate mofetil and cyclosporine by sirolimus, her Lesions though partially improved, were
still persistent in the last visit after six months.
Conclusion: Ocular leishmaniasis should be considered in the differential diagnosis of modula or
ulcerative of the eyelids specially in the endormic cases.
Keywords :
Conjunctiva , Hordeolum , Immunocompromised , Ocular Leishmaniasis , Disseminated Cutaneous Leishmaniasis
