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第六章 寄生虫、昆虫、动物性皮肤病
Dermatoses Caused by Parasites,Insects and Animals
皮肤利什曼病 Cutaneous Leishmaniasis
又称东方疖,是由利什曼原虫(LD小体)引起的一种慢性感染性皮肤病。可由蚊虫叮咬等传染。
诊断要点:
损害为炎性结节或斑块,上复痂屑,其下可见米粒至黄豆大结节,呈红色或棕色。好发于头面部、四肢等外露部位。我国少见,近来在援外人员中发现病例。图6-1-1及图6-1-6两例都曾在非洲工作。在病变组织病理切片HE染色中可见病原体,以姬姆萨染色可更清楚地显示组织细胞胞浆内的利杜(LD)小体。
治疗要点:
首选葡萄糖酸锑钠,肌内或静脉注射、外用。抗真菌药物如伊曲康唑、特比萘芬等也有效。
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P6-1-1_13614.jpg?sign=1739424208-uzKuAJxvjAyYaRD83VWR2R8MapZBfXeh-0-9800808f6b2641c9aa148184752877ac)
图6-1-1 皮肤利什曼病
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P6-1-2_13615.jpg?sign=1739424208-4oX4aRXpQtOnIGmO3h41835F3DpMwXJD-0-077b2331d6d61482ad06cea6ee684d4e)
图6-1-2 皮肤利什曼病
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P6-1-3_13616.jpg?sign=1739424208-nZ7UQQXMGp5PKy9IRhTu90rL7SxNafz6-0-bc32503111bc7e57ae042fa3892d81b5)
图6-1-3 HE染色示病原体
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P6-1-4_13617.jpg?sign=1739424208-J89800uEcDMlZjrU9mi5aQ8NKXvGzXuw-0-5b1a8a87cd2c6ad0cf992cc2cc9bbe18)
图6-1-4 姬姆萨染色示利杜小体
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P6-1-5_13618.jpg?sign=1739424208-44FxmtarscrJW9JVmSIWRwe9erV0AwtI-0-2bbf5d348d16d9db1d093110dbe23244)
图6-1-5 皮肤利什曼病
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P6-1-6_13619.jpg?sign=1739424208-7aI5avD8uIzdiRRBzabnkLADrf8Fk5yU-0-daebefdc11e3546cdb85fb2a9d466fbf)
图6-1-6 皮肤利什曼病