Manipulación de lesiones en pacientes con leishmaniasis cutánea: serie de casos en un hospital peruano

Juan Pineda-Reyes; Ricardo Marín; Andrea Tinageros-Zevallos; Ana P. Ramos; Fiorela Alvarez; Alejandro Llanos-Cuentas

doi:10.17843/rpmesp.2020.372.4799

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.