Chickler ulcer

Chiclerov's ulcer: Clinical and etiological variant of cutaneous leishmaniasis of the New World

Chickler's ulcer is a distinct clinical variant of New World cutaneous leishmaniasis caused by the parasite Leishmania mexicana. This disease is endemic to the humid lowland forests of Central America and is characterized by the formation of single, quickly healing ulcers on the skin. However, if the process is localized on the auricle, it can lead to cartilage destruction.

Leishmaniasis is a group of infectious diseases transmitted through the bites of insects such as sand flies. Leishmania mexicana is the cause of Chickler's Ulcer and is a type of Leishmania parasite.

In Chikler's Ulcer, the parasites are transmitted to humans through the bite of an infected sand fly. After entering the body, parasites invade macrophages, cells of the immune system, and multiply within them. This leads to the appearance of ulcers on the skin or destruction of cartilage in the case of damage to the auricle.

Symptoms of Chickler's Ulcer may include painful sores on the skin that usually heal on their own, although the process may take several months. If the auricle is damaged, destruction of the cartilage is possible, which can lead to deformation of the ear and disruption of its function.

The diagnosis of Chikler's ulcer is usually made based on clinical symptoms and laboratory tests. Tissue samples or materials taken from the ulcer may be analyzed using microscopy or molecular diagnostic techniques to detect the presence of Leishmania parasites.

Treatment for Chickler's Ulcer involves the use of antiparasitic drugs, such as antimonals or amphotericin B. The duration of treatment may vary depending on the severity of the disease and the response to drugs. In case of destruction of the cartilage of the auricle, surgical intervention may be required.

Prevention of Chickler Ulcers focuses on preventing sand fly bites and includes the use of repellents, protective clothing, and insect killers.

Chikler ulcer is a serious problem in regions where it is endemic. The disease can cause significant discomfort and limit the functionality of the affected areas of the body. Chickler's ulcer is a clinical and etiological variant of New World cutaneous leishmaniasis caused by the parasite Leishmania mexicana. This disease is endemic to the moist lowland forests of Central America. A characteristic feature of Chikler Ulcer is the appearance of single ulcers on the skin that heal quickly. However, when the disease process is localized to the auricle, destruction of the cartilage in this area may occur.

The parasite Leishmania mexicana is transmitted through the bite of sand flies, which serve as a vector for the disease. After parasites enter the human body, they invade macrophages - cells of the immune system, and begin to multiply inside them. This leads to the formation of ulcers on the skin or destruction of cartilage when the auricle is affected.

The main symptoms of Chickler's Ulcer are painful sores on the skin that usually disappear quickly, but the healing process can take several months. When the disease affects the pinna, cartilage may be destroyed, which can lead to deformation of the ear and disruption of its function.

The diagnosis of Chikler's ulcer is usually made on the basis of clinical manifestations and laboratory tests. To confirm the diagnosis, microscopy and molecular diagnostic techniques may be used to detect the presence of Leishmania parasites in tissue samples or materials taken from the ulcer.

Treatment for Chikler's Ulcer involves the use of antiparasitic drugs such as antimonals or amphotericin B. The duration of treatment depends on the severity of the disease and may vary in each case. If the cartilage of the auricle is destroyed, surgical intervention may be required.

Prevention of Chickler Ulcer is aimed at preventing sand fly bites and includes the use of repellents, protective clothing, and insect control products.

Chickler ulcer is a serious problem in regions where it is endemic. The disease can cause significant discomfort and limit the functionality of the affected areas of the body.



Chikler's ulcer is a clinical and etiological variant of cutaneous leishmaniasis, which is caused by Leishmania mexicana and is common in the humid lowland forests of Central America. It is characterized by the formation of single, quickly healing ulcers on the skin, which can be localized in different parts of the body. However, when the auricle is affected, cartilage destruction may occur, which leads to hearing loss.

Chikler's ulcer has its own characteristics that distinguish it from other forms of leishmaniasis. It is characterized by rapid healing of ulcers and the absence of complications such as lymphadenopathy or anemia. However, localization on the auricle can lead to more serious consequences, such as hearing loss and deformation of the auricle.

Treatment for Chiclair's ulcer involves the use of antiparasitic drugs such as amphotericin B, clindamycin, or pentamidine. Surgical treatment of the ulcer and the use of local antiseptics can also be used. In some cases, skin grafting may be necessary to close the wound.

Prevention of Chikler's ulcer includes maintaining good hygiene in habitats, using repellents and clothing that protects the skin from insect bites. It is also important to get regular medical checkups and treatment for any conditions that may contribute to the development of leishmaniasis.