Tayyebi M , Darchini-Maragheh E , Layegh P , Kiafar B , Goyonlo VM , 2021. The effect of oral miltefosine in treatment of antimoniate resistant anthroponotic cutaneous leishmaniasis: an uncontrolled clinical trial. PLoS Negl Trop Dis 15: e0009241.
Martinez S , Marr JJ , 1992. Allopurinol in the treatment of American cutaneous leishmaniasis. N Engl J Med 326: 741–744.
Husein‐ElAhmed H , Gieler U , Steinhoff M , 2020. Evidence supporting the enhanced efficacy of pentavalent antimonials with adjuvant therapy for cutaneous leishmaniasis: a systematic review and meta‐analysis. J Eur Acad Dermatol Venereol 34: 2216–2228.
Esfandiarpour I , Alavi A , 2002. Evaluating the efficacy of allopurinol and meglumine antimoniate (Glucantime) in the treatment of cutaneous leishmaniasis. Int J Dermatol 41: 521–524.
Momeni AZ , Reiszadae MR , Aminjavaheri M , 2002. Treatment of cutaneous leishmaniasis with a combination of allopurinol and low‐dose meglumine antimoniate. Int J Dermatol 41: 441–443.
Pinart M , Rueda JR , Romero GA , Pinzón-Flórez CE , Osorio-Arango K , Silveira Maia-Elkhoury AN , Reveiz L , Elias VM , Tweed JA , 2020. Interventions for American cutaneous and mucocutaneous leishmaniasis. Cochrane Database Syst Rev 8: CD004834.
Momeni AZ , Jalayer T , Emamjomeh M , Bashardost N , Ghassemi R , Meghdadi M , Javadi A , Aminjavaheri M , 1996. Treatment of cutaneous leishmaniasis with itraconazole. Randomized double-blind study. Arch Dermatol 132: 784–786.
Yaich S , Charfeddine K , Masmoudi A , Masmoudi M , Zaghdhane S , Turki H , Hachicha J , 2013. Atypical presentation of cutaneous leishmaniasis in a renal transplant recipient successfully treated with allopurinol and fluconazole. Ann Saudi Med 33: 187–191.
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Cutaneous leishmaniasis (CL) is a serious tropical disease and a neglected health challenge in Iran. Although limited data are available regarding anthroponotic CL, cases resistant to meglumine antimoniate (Glucantime) are increasingly being reported. Via an open-label noncontrolled case series, allopurinol (10 mg/kg/day) plus itraconazole (3–4 mg/kg/day) were orally administered for 1 month to 27 patients (56 lesions) with anthroponotic CL, most of whom were resistant to Glucantime. A mean lesion size of 3.5 ± 1.9 cm at baseline was reduced to 0.6 ± 1.0 after 1 month of treatment. Excellent treatment response was observed in 85.7% of lesions after 1 month. Recurrence only occurred in one patient in the 3-month follow-up session. This study presents preliminary evidence that oral allopurinol plus itraconazole could be an effective treatment in patients with anthroponotic CL.
Financial support: The study was supported by the Vice Chancellor for Research,
Authors’ addresses: Vahid Mashayekhi Goyonlo, Zahra Derakhshan, and Emadodin Darchini-Maragheh, Cutaneous Leishmaniasis Research Center, Mashhad University of Medical Sciences, Mashhad, Iran, E-mails: mashayekhiv@mums.ac.ir, taraderakhshan93@gmail.com, and darchinime971@mums.ac.ir.
Tayyebi M , Darchini-Maragheh E , Layegh P , Kiafar B , Goyonlo VM , 2021. The effect of oral miltefosine in treatment of antimoniate resistant anthroponotic cutaneous leishmaniasis: an uncontrolled clinical trial. PLoS Negl Trop Dis 15: e0009241.
Martinez S , Marr JJ , 1992. Allopurinol in the treatment of American cutaneous leishmaniasis. N Engl J Med 326: 741–744.
Husein‐ElAhmed H , Gieler U , Steinhoff M , 2020. Evidence supporting the enhanced efficacy of pentavalent antimonials with adjuvant therapy for cutaneous leishmaniasis: a systematic review and meta‐analysis. J Eur Acad Dermatol Venereol 34: 2216–2228.
Esfandiarpour I , Alavi A , 2002. Evaluating the efficacy of allopurinol and meglumine antimoniate (Glucantime) in the treatment of cutaneous leishmaniasis. Int J Dermatol 41: 521–524.
Momeni AZ , Reiszadae MR , Aminjavaheri M , 2002. Treatment of cutaneous leishmaniasis with a combination of allopurinol and low‐dose meglumine antimoniate. Int J Dermatol 41: 441–443.
Pinart M , Rueda JR , Romero GA , Pinzón-Flórez CE , Osorio-Arango K , Silveira Maia-Elkhoury AN , Reveiz L , Elias VM , Tweed JA , 2020. Interventions for American cutaneous and mucocutaneous leishmaniasis. Cochrane Database Syst Rev 8: CD004834.
Momeni AZ , Jalayer T , Emamjomeh M , Bashardost N , Ghassemi R , Meghdadi M , Javadi A , Aminjavaheri M , 1996. Treatment of cutaneous leishmaniasis with itraconazole. Randomized double-blind study. Arch Dermatol 132: 784–786.
Yaich S , Charfeddine K , Masmoudi A , Masmoudi M , Zaghdhane S , Turki H , Hachicha J , 2013. Atypical presentation of cutaneous leishmaniasis in a renal transplant recipient successfully treated with allopurinol and fluconazole. Ann Saudi Med 33: 187–191.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 1849 | 1434 | 197 |
Full Text Views | 1198 | 167 | 0 |
PDF Downloads | 209 | 22 | 0 |