Manipulation of lesions in patients with cutaneous leishmaniasis: case series in a peruvian hospital

Authors

  • Juan Pineda-Reyes Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Perú. Médico cirujano
  • Ricardo Marín Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Perú. Médico cirujano
  • Andrea Tinageros-Zevallos Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Perú. Médico cirujano
  • Ana P. Ramos Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Perú. Médico cirujano
  • Fiorela Alvarez Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Perú. médico especialista en Enfermedades infecciosas y tropicales.
  • Alejandro Llanos-Cuentas Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Perú. médico especialista en Enfermedades infecciosas y tropicales; doctor en Medicina y Epidemiología

DOI:

https://doi.org/10.17843/rpmesp.2020.372.4799

Keywords:

Leishmaniasis, Cutaneous, Medicine, Traditional, Diagnosis

Abstract

In cutaneous leishmaniasis endemic areas it is a common practice for patients to manipulate their lesions with traditional treatments as a first therapeutic option. A case series study was conducted in order to describe the frequency and the variations of the patient manipulation of cutaneous leishmaniasis lesions at the Cayetano Heredia Hospital. The study included 124 patients with cutaneous leishmaniasis. From the patient population it was found that 54% (67/124) manipulated their lesions. Of this, 92.5% (62/67) did so with chemicals, and 43.3% (29/67) with plants. The most frequent local changes reported by patients were increased lesion size in 35.8% (24/67) and increased inflammation in 28.4% (19/67). Manipulation by patients decreased the positivity of the parasitological diagnosis in those patients with ulcerative lesions.

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Published

2020-06-10

Issue

Section

Brief Report

How to Cite

1.
Pineda-Reyes J, Marín R, Tinageros-Zevallos A, Ramos AP, Alvarez F, Llanos-Cuentas A. Manipulation of lesions in patients with cutaneous leishmaniasis: case series in a peruvian hospital. Rev Peru Med Exp Salud Publica [Internet]. 2020 Jun. 10 [cited 2024 Oct. 12];37(2):265-9. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/4799

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