Author(s): Barroso,Daniel Holanda ; Silva,Claúdia Elise Ferraz ; Vasconcelos,Ana Carolina Depes Perdigao e ; Cavalcanti,Silvana Maria de Morais ; Brito,Maria Edileuza Felinto de ; Medeiros,Angela Cristina Rapela
Date: 2015
Origin: Oasisbr
Subject(s): Dermatology; HIV; Immune reconstitution inflammatory syndrome; Leishmania infantum; Leishmaniasis; Skin diseases
Abstract In Brazil, visceral Leishmaniasis is caused by Leishmania chagasi. The development of cutaneous lesions in visceral leishmaniasis patients has been described in two different clinical contexts. Patients with compromised immunity can develop skin lesions as a direct consequence of a current visceral disease. Equally, patients with a history of kala-azar and progressive, immune improvement occasionally develop skin lesions as a consequence of immune reconstitution infl ammatory syndrome. These cases manifest in similar fashion to the classic form of post-kala-azar dermal Leishmaniasis. We describe different cases that exemplify these two clinical presentations.
