Leech therapy for epidermoid cysts and review of the literature

Hirudo medicinalis sucks blood directly through the external mammalian skin. We recently observed a healthy 64-year-old Iranian man, who presented with numerous asymptomatic multilobular oval-to-round well-defined 0.5 to 1.5 cm cystic lesions with central umbilication (central black eschar) over the...

Full description

Bibliographic Details
Main Authors: Abbas Rasi, Alireza Faghihi, Mirhadi Aziz Jalali, Abbas Zamanian, Gholamhossein Ghaffarpour
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Advanced Biomedical Research
Subjects:
Online Access:http://www.advbiores.net/article.asp?issn=2277-9175;year=2014;volume=3;issue=1;spage=112;epage=112;aulast=Rasi
id doaj-b3ae568536ba4ad29f2b2cd9513d545f
record_format Article
spelling doaj-b3ae568536ba4ad29f2b2cd9513d545f2020-11-25T00:25:11ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752277-91752014-01-013111211210.4103/2277-9175.129719Leech therapy for epidermoid cysts and review of the literatureAbbas RasiAlireza FaghihiMirhadi Aziz JalaliAbbas ZamanianGholamhossein GhaffarpourHirudo medicinalis sucks blood directly through the external mammalian skin. We recently observed a healthy 64-year-old Iranian man, who presented with numerous asymptomatic multilobular oval-to-round well-defined 0.5 to 1.5 cm cystic lesions with central umbilication (central black eschar) over the upper portion of his chest. We made the diagnosis of epidermoid cyst, giant comedone and leech bite on the basis of the constellation of clinical features. The patient was treated with oral ciprofloxacin at a dose of 2 g daily, and 2% topical erythromycin solution. Despite improvement, the evidence of cystic lesions persisted. There was no history of similar lesions in any other family member. There was no history of trauma. The patient was not using any topical or systemic medication. Two weeks before his visit, he had a history of leech therapy under the supervision of a general practitioner. His medical history was significant for leech therapy of the lesions, five days previously. He was followed up for another two weeks and after disappearance of the inflammation, with the patient under local anesthesia, the well-circumscribed mass was completely evacuated with a sharp curette and comedone extractor. The patient was subsequently lost to follow-up. Conclusion: Considering the efficacy of leeches, it would be favorable to breed a germ-free leech. In Iran, the use of the leeches in surgery, in recent years, has been infrequent. It appears that the positive effects of this ancient remedy may now be explained through scientific methods, promising potentially even more uses of this admirable creature in medicine.http://www.advbiores.net/article.asp?issn=2277-9175;year=2014;volume=3;issue=1;spage=112;epage=112;aulast=RasiHirudo medicinalisleechleeching history
collection DOAJ
language English
format Article
sources DOAJ
author Abbas Rasi
Alireza Faghihi
Mirhadi Aziz Jalali
Abbas Zamanian
Gholamhossein Ghaffarpour
spellingShingle Abbas Rasi
Alireza Faghihi
Mirhadi Aziz Jalali
Abbas Zamanian
Gholamhossein Ghaffarpour
Leech therapy for epidermoid cysts and review of the literature
Advanced Biomedical Research
Hirudo medicinalis
leech
leeching history
author_facet Abbas Rasi
Alireza Faghihi
Mirhadi Aziz Jalali
Abbas Zamanian
Gholamhossein Ghaffarpour
author_sort Abbas Rasi
title Leech therapy for epidermoid cysts and review of the literature
title_short Leech therapy for epidermoid cysts and review of the literature
title_full Leech therapy for epidermoid cysts and review of the literature
title_fullStr Leech therapy for epidermoid cysts and review of the literature
title_full_unstemmed Leech therapy for epidermoid cysts and review of the literature
title_sort leech therapy for epidermoid cysts and review of the literature
publisher Wolters Kluwer Medknow Publications
series Advanced Biomedical Research
issn 2277-9175
2277-9175
publishDate 2014-01-01
description Hirudo medicinalis sucks blood directly through the external mammalian skin. We recently observed a healthy 64-year-old Iranian man, who presented with numerous asymptomatic multilobular oval-to-round well-defined 0.5 to 1.5 cm cystic lesions with central umbilication (central black eschar) over the upper portion of his chest. We made the diagnosis of epidermoid cyst, giant comedone and leech bite on the basis of the constellation of clinical features. The patient was treated with oral ciprofloxacin at a dose of 2 g daily, and 2% topical erythromycin solution. Despite improvement, the evidence of cystic lesions persisted. There was no history of similar lesions in any other family member. There was no history of trauma. The patient was not using any topical or systemic medication. Two weeks before his visit, he had a history of leech therapy under the supervision of a general practitioner. His medical history was significant for leech therapy of the lesions, five days previously. He was followed up for another two weeks and after disappearance of the inflammation, with the patient under local anesthesia, the well-circumscribed mass was completely evacuated with a sharp curette and comedone extractor. The patient was subsequently lost to follow-up. Conclusion: Considering the efficacy of leeches, it would be favorable to breed a germ-free leech. In Iran, the use of the leeches in surgery, in recent years, has been infrequent. It appears that the positive effects of this ancient remedy may now be explained through scientific methods, promising potentially even more uses of this admirable creature in medicine.
topic Hirudo medicinalis
leech
leeching history
url http://www.advbiores.net/article.asp?issn=2277-9175;year=2014;volume=3;issue=1;spage=112;epage=112;aulast=Rasi
work_keys_str_mv AT abbasrasi leechtherapyforepidermoidcystsandreviewoftheliterature
AT alirezafaghihi leechtherapyforepidermoidcystsandreviewoftheliterature
AT mirhadiazizjalali leechtherapyforepidermoidcystsandreviewoftheliterature
AT abbaszamanian leechtherapyforepidermoidcystsandreviewoftheliterature
AT gholamhosseinghaffarpour leechtherapyforepidermoidcystsandreviewoftheliterature
_version_ 1725349585934614528