Chronic zosteriform cutaneous leishmaniasis
Omidian, M.; Mapar, M.A.
Indian Journal of Dermatology, Venereology, and Leprology 72(1): 41-42
2006
ISSN/ISBN: 0378-6323 PMID: 16481709 Document Number: 597277
Cutaneous leishmaniasis (CL) may present with unusual clinical variants such as acute paronychial, annular, palmoplantar, zosteriform, erysipeloid and sporotrichoid. The zosteriform variant has rarely been reported. Unusual lesions may be morphologically attributed to an altered host response or owing to an atypical strain of parasites in these lesions. In this paper, a 60-year-old male patient in Khozestan Province, Iran, with multidermatomal zosteriform CL on his back and buttocks is described. The patient was resistant to conventional treatment but responded well to a combination of meglumine antimonate (20 mg/kg body weight daily for 20 days), allopurinol (20 mg/kg body weight daily for 30 days) and cryotherapy (every 2 weeks). This is the first reported case of multidermatomal zosteriform CL.