Usefulness of ultrasound for treatment and follow-up of cutaneous leishmaniasis
| Autor: | L Luna-Bastante, H Cembrero-Saralegui, E R Martínez-Lorenzo, F Alfageme-Roldán, L Vergara-de-la-Campa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Treatment response Technical Reports 030231 tropical medicine Leishmaniasis Cutaneous 03 medical and health sciences 0302 clinical medicine Cutaneous leishmaniasis Internal Medicine medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Skin Ultrasonography Inflammation Dermal Involvement business.industry Ultrasound Echogenicity General Medicine Color doppler medicine.disease Ultrasound imaging Radiology business High frequency ultrasound Follow-Up Studies |
| Zdroj: | J Ultrasound |
| Popis: | PURPOSE: Local therapy is the preferred option of treatment for most cutaneous leishmaniasis (CL); however, local therapy could be challenging, depth and size of the skin lesions are not always clinically evident and treatment response evaluation could occasionally be misleading. High frequency ultrasound is a non-invasive imaging tool which allows initial depth assessment ultrasound-guided infiltrations and ultrasound monitoring until resolution. METHODS: We present two cases of CL treated with ultrasound-guided infiltrations and ultrasound monitoring until resolution. RESULTS: Ultrasound imaging allowed a more accurate diagnosis of CL, defining more precisely the depth and size of the skin lesions. During follow-up, progressive decrease in dermal involvement, marked attenuation of the echogenicity of subcutaneous cellular tissue and a decrease in vascularization in the color Doppler mode was observed, which aided in evaluation of treatment response. Hypodermal inflammation observed through sonography was addressed with image-guided infiltration. CONCLUSION: We would like to highlight the usefulness of skin ultrasound (both B-mode and color Doppler mode) in the diagnosis, depth assessment, imaging guided treatment, and follow-up in CL. |
| Databáze: | OpenAIRE |
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