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发炎、测试、结节
Cutaneous leishmaniasis (dermal kala-azar) is chronic mucocutaneous lesion by L. donovani. Three human Leishmania: L. donovani (visceral + dermal); L. tropica (oriental sore, skin only); L. braziliensis (mucocutaneous). Inapparent skin leishmaniasis = amastigotes in skin without visceral/dermal lesions.
Inflammation; test; nodule
L. tropica (95%); Xinjiang; source = patients/rodents. Sandfly transmission; direct inoculation also; children; durable immunity; weeks-months incubation. Sandfly bite → LD bodies in gut → 5-7 day promastigote replication → bite → skin/subcutaneous infection.
Drug therapy, supportive therapy
Cure patients; kill sandfly vector; kill reservoir dogs; residual spraying (γ-HCH/DDT/organophosphates) on walls of houses/stables/latrines mid-May.
It is recommended to visit the Dermatology department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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