Chronic dacryocystitis in American mucocutaneous leishmaniasis

Citation
C. Baddini-caramelli et al., Chronic dacryocystitis in American mucocutaneous leishmaniasis, OPHTHAL PL, 17(1), 2001, pp. 48-52
Citations number
28
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Optalmology
Journal title
OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY
ISSN journal
0740-9303 → ACNP
Volume
17
Issue
1
Year of publication
2001
Pages
48 - 52
Database
ISI
SICI code
0740-9303(200101)17:1<48:CDIAML>2.0.ZU;2-2
Abstract
Purpose: This study describes lacrimal tract involvement and surgical outco me in patients with mucocutaneous leishmaniasis. Methods: Four patients, ages 20 to 75 years, had nasal lesions resulting fr om mucocutaneous leishmaniasis and sought treatment for chronic dacryocysti tis. Each patient had had lacrimal symptoms since childhood or early adulth ood, concomitantly with the development of upper airway lesions. Dacryocyst ography showed nasolacrimal duct stenosis in all cases on the affected side . Three patients underwent dacryocystorhinostomy (one bilaterally), and one patient had bilateral dacryocystectomy. Results: Two patients had surgical fistula closure soon after surgery. A se quential endoscopic operation for remotion of a synechia between the fistul a and the middle turbinate was successful in one of these patients. Histopa thologic analysis of lacrimal sacs and nasal mucous membranes close to the anastomotic site revealed chronic nonspecific inflammatory process and nega tive immunohistochemistry for Leishmania. Conclusions: Dacryocystitis may result from nasal mucocutaneous leishmanias is. The surgical outcome was unsatisfactory in one of the four patients.