Imran Ahmad, Zille Humayun, Muhammad Ahmad.
Pattern of cutaneous Leishmaniasis cases among troops and their families in Sibi.
Pak Armed Forces Med J Jan ;58(2):209-12.

Objective: To determine the pattern of cutaneous leishmaniasis cases in Sibi and to form a base line data. Design: Single center descriptive study. Place and Duration of Study: From Jan 2003 to Oct 2004 in CMH Sibi. Patients and Method: A total of 293 patients of either age or sex with clinical features of cutaneous leishmaniasis or positive skin smear for LD body were included in the study. Results: Out of 293 cases 283 (96.6%) were male patients and 10 (3.4%) were females. Mean age of presentation was 30 years. Number of lesions ranged from 1-14. Multiple lesions were seen in 40.9% cases only. Size of lesions ranged from 1-6 cm and most common size was 1 cm. 70% of lesions seen on upper and lower limbs followed by trunk and abdomen 15%, face 14% and genitalia 16%. Most common morphological pattern was non healing ulcer in 273 (93.17%) cases. Dry type was seen in 20 (6.8%) cases only. No over lap with visceral leishmaniasis was seen. Conclusion: Cutaneous leishmaniasis is quite prevalent in Sibi cantonment of Balochistan province of Pakistan. Most common presentation is non healing ulcer followed by psoriasiform rash. Majority of reasons were wet type but dry lesions were also seen. There is need to carry out further studies to identify where some different strain of parasite is involved.

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