Tıbbi sülük uygulaması sonucu ortaya çıkan kutanöz psödolenfoma olgusu ve literatürün gözden geçirilmesi
Tıbbi sülük uygulaması binlerce yıldır birçok kültürde çeşitli hastalıkların tedavisinde kullanılan yaygın bir geleneksel tedavi yöntemidir. Genellikle güvenli bir yöntem olmasına rağmen, bazen ciddi yan etkiler de görülebilir. Bu metodun nadir bir yan etkisi olarak kutanöz psödolenfoma, yabancı antijenler, enfeksiyöz süreçler, artropod ısırıkları ve bazen idiopatik nedenlerle oluşan reaktif bir deri hastalığıdır. Bu yazıda, sülük uygulaması sonrası çok sayıda nodülü olan ve kutanöz psödolenfoma tanısı konulan bir kadın olguyu sunuyor ve literatürü gözden geçiriyoruz.
A case of cutaneous pseudolymphoma induced by medicinal leech application and review of the literature
Medicinal leech application is a common traditional therapy used for various disorders in many cultures for thousands of years. Although it is usually a safe method, serious side effects can also be seen. As a rare side effect of this method, cutaneous pseudolymphoma is a reactive skin disease caused by foreign antigens, infectious processes and arthropod bites. Idiopathic cases sometimes can be seen. In this article, we present a case of cutaneous pseudolymphoma in an elderly woman with multiple nodules over her lumbar region emerging after leech application.
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- 1. Spear M. Medicinal Leech Therapy: Friend or Foe. Plast Surg Nurs. 2016;36:121-5.
- 2. Choi Y, Kim SC. Cutaneous pseudolymphoma induced by Hirudomedicinalis therapy. J Dermatol. 2012;39:195-7.
- 3. Verriere B, Sabatier B, Carbonnelle F, Mainardi JL, Prognon P, Whitaker I, et al. Medicinal leech therapy and Aeromonas spp. infection. Eur J Clin Microbiol Infect Dis. 2016;35:1001-6.
- 4. Butt AM, Ismail A, Lawson-Smith M, Shahid M, Webb J, Chester DL. Leech therapy for the treatment of venous congestion in flaps, digital re-plants and revascularizations - A two-year review from a regional centre. J Ayub Med Coll Abbottabad. 2016;28:219-23.
- 5. [Reese K, Gümbel D, Seifert J, Daeschlein G, Napp M, Ekkernkamp A. Infections associated with treatment with hirudomedicinalis - Report of two cases and review of the literature]. Handchir Mikrochir Plast Chir. 2015;47:206-9.
- 6. Zengin S, Yarbil P, Kilic H, Al B. Prolonged bleeding due to a medicinal leech bite: another treatment method, primary suture. BMJ Case Rep. 2012 Jul 13;2012. doi: 10.1136/bcr.02.2012.5759.
- 7. Smolle J, Cerroni L, Kerl H. Multiple pseudolymphomas caused by Hirudo medicinalis therapy. J Am Acad Dermatol. 2000;43:867-9.
- 8. Khelifa E, Kaya G, Laffitte E. Cutaneous pseudolymphomas after leech therapy. J Dermatol. 2013;40:674-5.
- 9. Altamura D, Calonje E, Liau Jl, Rogers M, Verdolini R. Diffuse cutaneous pseudolymphoma due to therapy with medicinal leeches. JAMA Dermatol. 2014; 150:783-4.
- 10. Tupikowska M, Woźniak Z, Wojciechowska-Zdrojowy M, Maj J, Jankowska-Konsur A. Hirudotherapy - a rare cause of pseudolymphoma. Postepy Dermatol Alergol. 2018; 35:225-6.