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Erythema exsudativum multiforme after a Leishmania skin test.

Authors :
Wind BS
GuimarĂ£es LH
Machado PRL
Source :
The American journal of tropical medicine and hygiene [Am J Trop Med Hyg] 2014 Apr; Vol. 90 (4), pp. 587-588.
Publication Year :
2014

Abstract

A 45-year-old otherwise healthy male from an endemic region for Leishmania braziliensis infection in Bahia, Brazil, presented with three erosive hemorrhagic infiltrated plaques on the left shin accompanied with lymphadenopathy in the groin since one month. A Leishmania skin test performed on the left forearm was strongly positive (20 × 18 mm). Two days later, the patient felt sick and feverish. Painful erythematous target lesions developed on the palms and scapula together with conjunctivitis. Histopathology confirmed erythema exsudativum multiforme (EEM). Both EEM and cutaneous leishmaniasis were successfully treated with a 5-day course of prednisone 20 mg, and a 20-day course of intravenous pentavalent antimony, respectively.

Details

Language :
English
ISSN :
1476-1645
Volume :
90
Issue :
4
Database :
MEDLINE
Journal :
The American journal of tropical medicine and hygiene
Publication Type :
Academic Journal
Accession number :
24696403
Full Text :
https://doi.org/10.4269/ajtmh.13-0166