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患者男,50岁。左小腿斑块、结节1年半。无发热等全身症状,临床表现为左小腿斑块、结节。皮损组织病理示:肉芽肿性炎症,见大量嗜碱性小体线状分布于空泡边缘。予伊曲康唑胶囊200mg,2次/d口服,连续3个月,静滴两性霉素B脂质体20d,后改为伊曲康唑口服液至总疗程6个月治愈停药,随访2年未见复发。临床诊断:皮肤利什曼病。
Male patient, 50 years old. Left leg plaque, nodules 1 and a half years. No fever and other systemic symptoms, clinical manifestations of left calf plaque, nodules. Pathological lesions showed: granulomatous inflammation, see a large number of basophils linear distribution in the edge of the vacuole. To itraconazole capsules 200mg, 2 times / d orally for 3 consecutive months, intravenous amphotericin B liposomes 20d, later itraconazole oral solution to the total course of 6 months cure withdrawal, follow-up No recurrence in 2 years. Clinical diagnosis: cutaneous leishmaniasis.