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https://doi.org/10.14670/HH-18-324
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Título: | Diagnostic usefulness of immunohistochemical evaluation of CD1a antigen and polyclonal antiLeishmania antibodies in cutaneous Leishmaniasis |
Fecha de publicación: | 2021 |
Editorial: | Universidad de Murcia, Departamento de Biologia Celular e Histiologia |
Cita bibliográfica: | Histology and Histopathology Vol. 36, nº5 (2021) |
ISSN: | 0213-3911 1699-5848 |
Materias relacionadas: | CDU::6 - Ciencias aplicadas::61 - Medicina::616 - Patología. Medicina clínica. Oncología |
Palabras clave: | Amastigote CD1a Immunohistochemistry Leishmania Leishmaniasis |
Resumen: | Background. Different immunohistochemical markers to detect amastigotes in cutaneous Leishmaniasis have been proposed with variable diagnostic usefulness. Objectives. To evaluate the diagnostic usefulness of immunohistochemical amastigotes identification by specific polyclonal anti-Leishmania antibodies and CD1a expression (clone EP3622) in a series of PCR confirmed cutaneous Leishmaniasis. Materials and methods. Thirty-three skin samples corresponding to PCR confirmed cutaneous Leishmaniasis were included in the study. All samples were stained with Hematoxylin-eosin and Giemsa. Moreover, immunohistochemical studies with anti-CD1a and anti-Leishmania antibodies were performed. The patients clinical features and the observed histopathological features were also recorded. Results. From the selected 33 biopsies, Leishmania spp. amastigotes were detected in 48.4% of cases with conventional Hematoxylin-eosin stain and in 57.5% of cases by Giemsa staining. In 31/33 cases, anti-CD1a allowed us to identify parasitic structures, and in 33/33 cases amastigotes were detected with anti-Leishmania antibodies. Concordance between both techniques, antiCD1a and anti-Leishmania, was 94% [CI 95%: (79,8%- 99,3%)]; p value <0.05. The sensitivity of anti-CD1a in comparison with the PCR was 94%, with a positive predictive value of 100%. Two cases of low parasitic index were negative for CD1a immunostaining. In cases with high parasitic index, anti-CD1a stained amastigotes in superficial and deep dermis. Only a few cases were originally diagnosed with the available histological techniques, needing PCR for Leishmania spp. identification. Conclusions. Anti-CD1a antibody seems to be a useful technique to identify amastigotes when PCR and anti-Leishmania antibodies are not available. The sensitivity to detect amastigotes is increased when the CD1a immunostaining is added to the classical Haematoxylin – eosin and Giemsa staining. |
Autor/es principal/es: | Lopez-Trujillo, Emilio Gonzàlez-Farré, Mònica Pujol, Ramon M. Bellosillo, Beatriz Fisa, Roser Riera, Cristina Alcover, Magdalena Barranco, Carlos Martin-Ezquerra, Gemma |
URI: | http://hdl.handle.net/10201/127284 |
DOI: | https://doi.org/10.14670/HH-18-324 |
Tipo de documento: | info:eu-repo/semantics/article |
Número páginas / Extensión: | 10 |
Derechos: | info:eu-repo/semantics/openAccess Attribution-NonCommercial-NoDerivatives 4.0 Internacional |
Aparece en las colecciones: | Vol.36, nº5 (2021) |
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Fichero | Descripción | Tamaño | Formato | |
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Lopez-Trujillo-36-567-576-2021.pdf | 22,85 MB | Adobe PDF | Visualizar/Abrir |
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