Page 159 - LECTURE NOTES

7.4. Leishmaniasis

It is protozoal infection of the skin and mucous membrane and visceral organs (liver and

spleen)

1. Mode of transmission

The infection will be caused by bite of insect called sand fly

2. Incubation period
From days to months

3. Source of disease
Human being and animals like rat, dog and cats

4. Clinical picture

Single and multiple lesions will be localized on the face extremities: mouth, nose larynx
and pharynx that have characteristics of papules progress to destruction of tissues

(Ulcer) Pain on the part of lesion
5. Management

1. Re assure the patient

2. Reduce pain by giving anti pain
3. Clean the ulcerated part with soap and water.

4. Refer patient for treatment with pentostan or pentamdine

7.5. Acne Vulgaris

1. Risk factors

¾ Increased sex hormone level
¾ Increased stress level

¾ Sebaceous gland over secretion of sebum, proliferation of bacteria, excess

keratin formation in the follicular duct.
¾ Age: greatest in adolescent after puberty

2. Characteristic or features of acne Vulgaris

• Initial formation of a comedo (Black head) or wife head.

• Progress formation of comedones, papules, pustuls.

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