The clinical and immunological spectrum of American cutaneous leishmaniasis
American cutaneous leishmaniasis is characterized by a spectrum of clinical manifestations. These include localized, often self-healing single lesions, intermediate forms which frequently produce mucosal lesions and often show exaggerated delayed-type hypersensitivity (DTH), and the rare diffuse cut...
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Published in | Transactions of the Royal Society of Tropical Medicine and Hygiene Vol. 87; no. 4; pp. 444 - 448 |
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Main Authors | , , , , , , |
Format | Journal Article Conference Proceeding |
Language | English |
Published |
Oxford
Elsevier Ltd
01.07.1993
Royal Society of Tropical Medicine and Hygiene Elsevier |
Subjects | |
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Abstract | American cutaneous leishmaniasis is characterized by a spectrum of clinical manifestations. These include localized, often self-healing single lesions, intermediate forms which frequently produce mucosal lesions and often show exaggerated delayed-type hypersensitivity (DTH), and the rare diffuse cutaneous leishmaniasis in which no reaction of protective cell-mediated immunity or DTH can be demonstrated. Clinical, pathological and immunological studies have begun to unravel some of the mechanisms associated with different disease manifestations, dependent on complex interactions between the host immune response, measured in terms of indices including lymphocyte subsets and lymphokines
in vitro and within active lesions, and different species of
Leishmania. |
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AbstractList | American cutaneous leishmaniasis is characterized by a spectrum of clinical manifestations. These include localized, often self-healing single lesions, intermediate forms which frequently produce mucosal lesions and often show exaggerated delayed-type hypersensitivity (DTH), and the rare diffuse cutaneous leishmaniasis in which no reaction of protective cell-mediated immunity or DTH can be demonstrated. Clinical, pathological and immunological studies have begun to unravel some of the mechanisms associated with different disease manifestations, dependent on complex interactions between the host immune response, measured in terms of indices including lymphocyte subsets and lymphokines in vitro and within active lesions, and different species of Leishmania. American cutaneous leishmaniasis is characterized by a spectrum of clinical manifestations. These include localized, often self-healing single lesions, intermediate forms which frequently produce mucosal lesions and often show exaggerated delayed-type hypersensitivity (DTH), and the rare diffuse cutaneous leishmaniasis in which no reaction of protective cell-mediated immunity or DTH can be demonstrated. Clinical, pathological and immunological studies have begun to unravel some of the mechanisms associated with different disease manifestations, dependent on complex interactions between the host immune response, measured in terms of indices including lymphocyte subsets and lymphokines in vitro and within active lesions, and different species of Leishmania. |
Author | Fernández, C.T. Tapia, F.J. Rondón, A.J. Ulrich, M. Castés, M. Cáceres-Dittmar, G. Convit, J. |
Author_xml | – sequence: 1 givenname: J. surname: Convit fullname: Convit, J. – sequence: 2 givenname: M. surname: Ulrich fullname: Ulrich, M. – sequence: 3 givenname: C.T. surname: Fernández fullname: Fernández, C.T. – sequence: 4 givenname: F.J. surname: Tapia fullname: Tapia, F.J. – sequence: 5 givenname: G. surname: Cáceres-Dittmar fullname: Cáceres-Dittmar, G. – sequence: 6 givenname: M. surname: Castés fullname: Castés, M. – sequence: 7 givenname: A.J. surname: Rondón fullname: Rondón, A.J. |
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Keywords | Infection Human Symptomatology Skin disease Protozoal disease Immune response Immunological investigation Cellular immunity Skin Leishmaniasis |
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Notes | istex:DC8BDCB3084D3644ECF58D3023497C1353551A26 Address for correspondence: Dr Jacinto Convit, Instituto de Biomedicina, Apartado 4043, Caracas 1010A, Venezuela. ark:/67375/HXZ-SHD9HPPB-B Clinical studies and pathology ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Article-1 ObjectType-Feature-2 |
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Similar clinical-immunological-pathological models publication-title: Ethiopian Medical Journal contributor: fullname: Convit – volume: 49 start-page: 271 year: 1991 end-page: 280 ident: BIB19 article-title: Immunocytochemical characterization of immune cells in lesions of American cutaneous leishmaniasis using novel T cell markers publication-title: Acta Tropica contributor: fullname: Convit – volume: 27 start-page: 176 year: 1983 end-page: 186 ident: BIB3 article-title: Characterization of the cellular immune response in American cutaneous leishmaniasis publication-title: Clinical Immunology and Immunopathology contributor: fullname: Rondón – volume: i start-page: 401 year: 1987 end-page: 405 ident: BIB12 article-title: Immunotherapy versus chemotherapy in localised cutaneous leishmaniasis publication-title: Lancet contributor: fullname: Garcia – volume: 77 start-page: 569 year: 1983 end-page: 595 ident: BIB16 article-title: The American leishmaniases: some observations on their ecology and epidemiology publication-title: Transactions of the Royal Society of Tropical Medicine and Hygiene contributor: fullname: Lainson – volume: 74 start-page: 515 year: 1980 end-page: 521 ident: BIB23 article-title: A histological classification of cutaneous leishmaniasis and its geographical expression publication-title: Transactions of the Royal Society of Tropical Medicine and Hygiene contributor: fullname: Ridley – start-page: 159 year: 1974 end-page: 169 ident: BIB9 article-title: Cutaneous leishmaniasis. The clinical and immunological spectrum in South America publication-title: Trypanosomiasis and Leishmaniasis with Special Reference to Chagas' Disease contributor: fullname: Pinardi – volume: 80 start-page: 859 year: 1986 end-page: 876 ident: BIB18 article-title: Mucosal leishmaniasis (‘espundia’ Escomel, 1911) publication-title: Transactions of the Royal Society of Tropical Medicine and Hygiene contributor: fullname: Marsden – volume: 60 start-page: 241 year: 1985 end-page: 248 ident: BIB20 article-title: publication-title: Clinical and Experimental Immunology contributor: fullname: Convit – volume: 159 start-page: 725 year: 1989 ident: 10.1016/0035-9203(93)90030-T_BIB24 article-title: The relationship of Leishmania braziliensis subspecies and immune response to disease expression in New World leishmaniasis publication-title: Journal of Infectious Diseases doi: 10.1093/infdis/159.4.725 contributor: fullname: Saravia – volume: 74 start-page: 515 year: 1980 ident: 10.1016/0035-9203(93)90030-T_BIB23 article-title: A histological classification of cutaneous leishmaniasis and its geographical expression publication-title: Transactions of the Royal Society of Tropical Medicine and Hygiene doi: 10.1016/0035-9203(80)90069-3 contributor: fullname: Ridley – volume: 153 start-page: 4144 year: 1985 ident: 10.1016/0035-9203(93)90030-T_BIB2 article-title: Cell-mediated immunity in American cutaneous leishmaniasis publication-title: Journal of Immunology doi: 10.4049/jimmunol.135.6.4144 contributor: fullname: Carvalho – start-page: 159 year: 1974 ident: 10.1016/0035-9203(93)90030-T_BIB9 article-title: Cutaneous leishmaniasis. The clinical and immunological spectrum in South America contributor: fullname: Convit – volume: 160 start-page: 104 year: 1989 ident: 10.1016/0035-9203(93)90030-T_BIB13 article-title: Immunotherapy of localized, intermediate, and diffuse forms of American cutaneous leishmaniasis publication-title: Journal of Infectious Diseases doi: 10.1093/infdis/160.1.104 contributor: fullname: Convit – volume: 37 start-page: 520 year: 1987 ident: 10.1016/0035-9203(93)90030-T_BIB22 article-title: Gamma interferon production induced by antigens in patients with leprosy and American cutaneous leishmaniasis publication-title: American Journal of Tropical Medicine and Hygiene doi: 10.4269/ajtmh.1987.37.520 contributor: fullname: Rada – volume: 27 start-page: 176 year: 1983 ident: 10.1016/0035-9203(93)90030-T_BIB3 article-title: Characterization of the cellular immune response in American cutaneous leishmaniasis publication-title: Clinical Immunology and Immunopathology doi: 10.1016/0090-1229(83)90068-5 contributor: fullname: Castés – volume: 49 start-page: 271 year: 1991 ident: 10.1016/0035-9203(93)90030-T_BIB19 article-title: Immunocytochemical characterization of immune cells in lesions of American cutaneous leishmaniasis using novel T cell markers publication-title: Acta Tropica doi: 10.1016/0001-706X(91)90078-X contributor: fullname: Martínez-Arends – start-page: A58 year: 1991 ident: 10.1016/0035-9203(93)90030-T_BIB17 article-title: Helper T-cell subsets in mouse leishmaniasis: induction, expansion and effector function publication-title: Immunoparasitology Today doi: 10.1016/S0167-5699(05)80017-9 contributor: fullname: Locksley – volume: 12 start-page: 187 year: 1974 ident: 10.1016/0035-9203(93)90030-T_BIB7 article-title: Leprosy and leishmaniasis. Similar clinical-immunological-pathological models publication-title: Ethiopian Medical Journal contributor: fullname: Convit – volume: 57 start-page: 279 year: 1984 ident: 10.1016/0035-9203(93)90030-T_BIB4 article-title: Mechanisms associated with immunoregulation in human American cutaneous leishmaniasis publication-title: Clinical and Experimental Immunology contributor: fullname: Castés – volume: 26 start-page: 1207 year: 1988 ident: 10.1016/0035-9203(93)90030-T_BIB5 article-title: T-cell subpopulations, expression of interleukin-2 receptor, and production of interleukin-2 and gamma interferon in human American cutaneous leishmaniasis publication-title: Journal of Clinical Microbiology doi: 10.1128/JCM.26.6.1207-1213.1988 contributor: fullname: Castés – volume: 18 start-page: 153 year: 1948 ident: 10.1016/0035-9203(93)90030-T_BIB8 article-title: Sobre un caso de leishmaniasis diseminada publication-title: Revista Policlínica de Caracas contributor: fullname: Convit – volume: 77 start-page: 569 year: 1983 ident: 10.1016/0035-9203(93)90030-T_BIB16 article-title: The American leishmaniases: some observations on their ecology and epidemiology publication-title: Transactions of the Royal Society of Tropical Medicine and Hygiene doi: 10.1016/0035-9203(83)90185-2 contributor: fullname: Lainson – volume: 306 start-page: 387 year: 1982 ident: 10.1016/0035-9203(93)90030-T_BIB21 article-title: Specific inhibition of lymphocyte-proliferation responses by adherent suppressor cells in diffuse cutaneous leishmaniasis publication-title: New England Journal of Medicine doi: 10.1056/NEJM198202183060702 contributor: fullname: Petersen – volume: 45 start-page: 281 year: 1991 ident: 10.1016/0035-9203(93)90030-T_BIB15 article-title: Correlation between histopathology, clinical presentation, and evolution in Leishmania braziliensis infection publication-title: American Journal of Tropical Medicine and Hygiene doi: 10.4269/ajtmh.1991.45.281 contributor: fullname: Gutierrez – volume: i start-page: 401 year: 1987 ident: 10.1016/0035-9203(93)90030-T_BIB12 article-title: Immunotherapy versus chemotherapy in localised cutaneous leishmaniasis publication-title: Lancet doi: 10.1016/S0140-6736(87)90116-4 contributor: fullname: Convit – volume: 57 start-page: 263 issue: supplement 2 year: 1986 ident: 10.1016/0035-9203(93)90030-T_BIB11 article-title: The development of a vaccination model using two microorganisms and its application in leprosy and leishmaniasis publication-title: Leprosy Review contributor: fullname: Convit – volume: 81 start-page: 606 year: 1987 ident: 10.1016/0035-9203(93)90030-T_BIB14 article-title: Spontaneous healing of cutaneous Leishmania braziliensis braziliensis ulcers publication-title: Transactions of the Royal Society of Tropical Medicine and Hygiene doi: 10.1016/0035-9203(87)90424-X contributor: fullname: Costa – volume: 80 start-page: 859 year: 1986 ident: 10.1016/0035-9203(93)90030-T_BIB18 article-title: Mucosal leishmaniasis (‘espundia’ Escomel, 1911) publication-title: Transactions of the Royal Society of Tropical Medicine and Hygiene doi: 10.1016/0035-9203(86)90243-9 contributor: fullname: Marsden – volume: 79 start-page: 221 year: 1990 ident: 10.1016/0035-9203(93)90030-T_BIB6 article-title: Quantitative study of Leishmania braziliensis braziliensis reactive T cells in peripheral blood and in the lesions of patients with American cutaneous leishmaniasis publication-title: Clinical and Experimental Immunology doi: 10.1111/j.1365-2249.1990.tb05182.x contributor: fullname: Conceiçao-Silva – volume: 66 start-page: 603 year: 1972 ident: 10.1016/0035-9203(93)90030-T_BIB10 article-title: Diffuse cutaneous leishmaniasis: a disease due to an immunological defect of the host publication-title: Transactions of the Royal Society of Tropical Medicine and Hygiene doi: 10.1016/0035-9203(72)90306-9 contributor: fullname: Convit – volume: 60 start-page: 241 year: 1985 ident: 10.1016/0035-9203(93)90030-T_BIB20 article-title: In situ characterization of the cellular immune response in American cutaneous leishmaniasis publication-title: Clinical and Experimental Immunology contributor: fullname: Modlin – volume: 13 start-page: 131 year: 1992 ident: 10.1016/0035-9203(93)90030-T_BIB1 article-title: Revisiting and revising suppressor cells publication-title: Immunology Today doi: 10.1016/0167-5699(92)90110-S contributor: fullname: Bloom – volume: 39 start-page: 179 year: 1988 ident: 10.1016/0035-9203(93)90030-T_BIB25 article-title: Serological patterns and specificity in American cutaneous leishmaniasis publication-title: American Journal of Tropical Medicine and Hygiene doi: 10.4269/ajtmh.1988.39.179 contributor: fullname: Ulrich |
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SubjectTerms | Animals Antigens, Protozoan - immunology Biological and medical sciences Enzyme-Linked Immunosorbent Assay Female Human protozoal diseases Humans Hypersensitivity, Delayed - immunology Infectious diseases Leishmania Leishmania mexicana - immunology Leishmaniasis, Cutaneous - immunology Leishmaniasis, Cutaneous - pathology Leishmaniasis, Diffuse Cutaneous - immunology Leishmaniasis, Mucocutaneous - immunology Leshmaniasis Lymphocyte Activation - immunology Male Medical sciences Parasitic diseases Protozoal diseases Skin - immunology Skin - pathology Tropical medicine |
Title | The clinical and immunological spectrum of American cutaneous leishmaniasis |
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