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Fluconazole for Cutaneous Leishmaniasis: Looking for a Better Treatment
Urbà González, MD,PhD
Arch Dermatol. 2002;138:1604-1606.
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Commentary on: Fluconazole for the treatment of cutaneous leishmaniasis caused by Leishmania major Alrajhi AA, Ibrahim EA, De Vol EB, Khairat M, Faris RM, Maguire JH N Engl J Med. 2002;346:891-895
Question: Is fluconazole effective and safe compared with placebo to treat cutaneous leishmaniasis caused by Leishmania major in immunocompetent adults?
Design: Alrajhi et al conducted a controlled clinical trial in Saudi Arabia using fluconazole for the treatment of cutaneous leishmaniasis caused by L major. In a 6-week placebo-controlled trial, 248 patients were screened, and 209 were allocated in the 2 groups using a random-number table. Sample size calculation was declared, and inclusion/exclusion criteria defined. Patients were observed for a mean of 72 days after the completion of the trial. The diagnosis was confirmed by parasitologic smear and/or culture, but the type of Leishmania was reported in only 27% of the randomized patients (all were . . . [Full Text of this Article] Comment
Department of Dermatology, Clínica Plató, Barcelona, Spain
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