Letter to the Editor
Leishmaniasis in Spanish tattoos
Leishmaniasis en los tatuajes Espanol
Nicolas Kluger
Service de Dermatologie, Service de Dermatologie, hôpital, Université Montpellier I, Hôpital Saint-Eloi, CHU de Montpellier 80, avenue Augustin Fliche 34295 Montpellier, France
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"nombre" => "Agustín" "apellidos" => "Julián-Jiménez" ] 1 => array:3 [ "Iniciales" => "M.J." "nombre" => "María José" "apellidos" => "Palomo de los Reyes" ] 2 => array:3 [ "Iniciales" => "J.G." "nombre" => "José Guillermo" "apellidos" => "Sentenac" ] 3 => array:3 [ "Iniciales" => "J." "nombre" => "José" "apellidos" => "Aguilar" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213005X10002806?idApp=UINPBA00004N" "url" => "/0213005X/0000002800000009/v1_201305090222/S0213005X10002806/v1_201305090222/es/main.assets" ] "asociados" => array:1 [ 0 => array:18 [ "pii" => "S0213005X09002122" "issn" => "0213005X" "doi" => "10.1016/j.eimc.2008.11.022" "estado" => "S300" "fechaPublicacion" => "2009-12-01" "aid" => "149" "copyright" => "Elsevier España, S.L" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Enferm Infecc Microbiol Clin. 2009;27:602-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 5624 "formatos" => array:3 [ "EPUB" => 12 "HTML" => 4765 "PDF" => 847 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Diagnóstico a primera vista</span>" "titulo" => "Sobreelevación de tatuaje en un paciente infectado por virus de la inmunodeficiencia humana" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "602" "paginaFinal" => "604" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Raised tattoos in a human immunodeficiency virus-infected patient" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig1" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1472 "Ancho" => 975 "Tamanyo" => 184396 ] ] "descripcion" => array:1 [ "es" => "<p class="elsevierStyleSimplePara elsevierViewall">Tatuaje en relieve.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Milagros García-Lázaro, Carlos Villar, Clara Natera, Antonio Rivero" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Milagros" "apellidos" => "García-Lázaro" ] 1 => array:2 [ "nombre" => "Carlos" "apellidos" => "Villar" ] 2 => array:2 [ "nombre" => "Clara" "apellidos" => "Natera" ] 3 => array:2 [ "nombre" => "Antonio" "apellidos" => "Rivero" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213005X09002122?idApp=UINPBA00004N" "url" => "/0213005X/0000002700000010/v1_201305090127/S0213005X09002122/v1_201305090127/es/main.assets" ] ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Leishmaniasis in Spanish tattoos" "tieneTextoCompleto" => true "saludo" => "Dear Editor:" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "667" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Nicolas Kluger" "autores" => array:1 [ 0 => array:3 [ "nombre" => "Nicolas" "apellidos" => "Kluger" "email" => array:1 [ 0 => "nicolaskluger@yahoo.fr" ] ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Service de Dermatologie, Service de Dermatologie, hôpital, Université Montpellier I, Hôpital Saint-Eloi, CHU de Montpellier 80, avenue Augustin Fliche 34295 Montpellier, France" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Leishmaniasis en los tatuajes Espanol" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="p0005" class="elsevierStylePara elsevierViewall">I read with great interest the article of Garcia-Lazaro et al recently published in the Journal regarding a case of leishmaniasis occurring within a tattoo of an HIV patient.<a class="elsevierStyleCrossRef" href="#bib1"><span class="elsevierStyleSup">1</span></a> They have added a new case of leishmaniasis on tattoos in HIV patients. As suggested by Lopez-Medrano et al,<a class="elsevierStyleCrossRef" href="#bib2"><span class="elsevierStyleSup">2</span></a> this reaction is mostly likely the consequence of macrophages infection by leishmania. Macrophages tend to gather in the tattooed dermis in order to assimilate the exogenous pigments…. However, Lopez-Medrano et al stated recently<a class="elsevierStyleCrossRef" href="#bib3"><span class="elsevierStyleSup">3</span></a> that their case have been the second reported in the literature since 1997<a class="elsevierStyleCrossRef" href="#bib4"><span class="elsevierStyleSup">4</span></a>… Unfortunately, this is not true either. Indeed, in 2002, Bosch et al, from Malaga (Spain again!), reported a case series of HIV-infected patients with visceral leishmaniasis and specific cutaneous lesions.<a class="elsevierStyleCrossRef" href="#bib5"><span class="elsevierStyleSup">5</span></a> Among them, a 46-year-old male with a T lymphocyte count of 128<span class="elsevierStyleHsp" style=""></span>cells/mm<span class="elsevierStyleSup">3</span> presented a papular and nodular infiltration of his tattoo. Granuloma and leishmania were found in the skin biopsy. Infiltrative relapses coincided with systemic worsening and the lesions disappeared after appropriate anti-Leishmaniasis treatment.<a class="elsevierStyleCrossRef" href="#bib5"><span class="elsevierStyleSup">5</span></a> They even provide a black and white clinical picture of the infiltrated tattoo that reminds us of the case of Lopez-Medrano et al. Unfortunately, there is no way to find this article on PUBMED, if you are looking specifically for tattoo reactions. Anyhow, one thing is certain: Spain currently has<span class="elsevierStyleItalic">, to the best of my knowledge</span>, the largest series of cutaneous tattoo reactions related to leishmania in HIV patients…</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bb0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sobreelevacion de tauaje en un paciente infectado por el virus de la inmunodeficiencia humana" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M. Garcia-Lazaro" 1 => "C. Villar" 2 => "C. Natera" 3 => "A. Rivero" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.eimc.2008.11.022" "Revista" => array:6 [ "tituloSerie" => "Enferm Infecc Microbiol Clin" "fecha" => "2009" "volumen" => "27" "paginaInicial" => "602" "paginaFinal" => "604" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19419796" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An HIV-positive man with tattoo induration" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "F. Lopez-Medrano" 1 => "J.R. Costa" 2 => "J.L. Rodriguez-Peralto" 3 => "J.M. Aguado" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Clin Infect Dis" "fecha" => "2007" "volumen" => "12" "paginaInicial" => "267" "paginaFinal" => "268" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "López-Medrano F, Costa JR, Rodríguez-Peralto JL, Aguado JM. Leishmaniasis sobre tatuaje en paciente infectado por el virus de la inmunodeficiencia humana. Enferm Infecc Microbiol Clin. 2010, doi:10.1016/j.eimc.2010.01.003." ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Unusual cutaneous lesions in two patients with visceral leishmaniasis and HIV infection" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R. Colebunders" 1 => "K. Depraetere" 2 => "T. Verstraeten" 3 => "J. Lambert" 4 => "E. Hauben" 5 => "E. Van Marck" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Am Acad Dermatol" "fecha" => "1999" "volumen" => "41" "paginaInicial" => "847" "paginaFinal" => "850" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10534667" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Presence of Leishmania organisms in specific and non-specific skin lesions in HIV-infected individuals with visceral leishmaniasis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R.J. Bosch" 1 => "A.B. Rodrigo" 2 => "P. Sánchez" 3 => "M.V. de Gálvez" 4 => "E. Herrera" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Int J Dermatol" "fecha" => "2002" "volumen" => "41" "paginaInicial" => "670" "paginaFinal" => "675" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12390190" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/0213005X/0000002800000009/v1_201305090222/S0213005X10002892/v1_201305090222/en/main.assets" "Apartado" => array:4 [ "identificador" => "8697" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Cartas al editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/0213005X/0000002800000009/v1_201305090222/S0213005X10002892/v1_201305090222/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213005X10002892?idApp=UINPBA00004N" ]
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