1F54.2/B55.2 Mucocutaneous leishmaniasis

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Aetiology

Mucocutaneous leishmaniasis (MCL) is caused by infection with the protozoan Leishmania species, which is transmitted by the bite of female phlebotomine sand flies.

Diagnosis

Diagnosis of MCL is typically done through a combination of physical examination and laboratory tests. These tests include skin biopsy, skin scrapings, slit skin smears, and polymerase chain reaction (PCR).

Differential diagnosis

Differential diagnosis includes other skin diseases such as dermatomyositis, lupus, and sarcoidosis.

Treatment

Treatment of MCL typically involves antimonial drugs such as pentavalent antimony, amphotericin B, or miltefosine. Surgery may also be required to remove any ulcers or tissue damage.

Prognosis

The prognosis for MCL is generally good with prompt treatment. However, in some cases, the infection can recur and become chronic if not treated properly.

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