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As a result of a superinfection there can be some leishamaniomas consistently or simultaneously (at plural stings). On lymphatic ways from the primary centre to regionarnogo a lymph node there are bugorki disseminations, lymphangites. Disease can get a chronic relapsing current in the form of occurrence fine merging bugorkov in the field of cicatrix (a tuberculoid leishmaniasis). Gistologicheski in the first 6-8 mes the granuloma infiltrate consists of epithelioid and histiocytic elements, huge cells and contains much lejshmany; in a late stage prevail lymphoid and plasmocytes, lejshmany are rare. At a zoonotic variant in the centre of an extensive infiltrate the necrosis round which the leukocytic shaft is formed develops. Lejshmany in cicatrix can be found out in 2 years after healing of ulcers. After disease there is a proof immunity. Clinical picture. The dermal leishmaniasis proceeds cyclically: a primary leishamanioma (a stage bugorka, ulcerations, cicatrisations), a consecutive leishamanioma (early, late), it is diffusive infiltrirujushchaja a leishamanioma and a tuberculoid (on N.F.Rodjakinu). The leishmaniasis dermal antroponoznyj has an incubation interval 2-8 mes (seldom till 5 years). The primary leishamanioma in the form of smooth slowly growing burovato red bugorka through 6 mes reaches 1-2 sm in diameter. I cost of dapoxetine at the price 6.52$ per package. His wife wants to buy priligy online. Then its surface starts to be shelled and through 5-10 mes izjazvljaetsja (the ulcer roundish, is surrounded by a rising infiltrate, a discharge poor, serously purulent, shrinks in a brown crust). Round an ulcer there can be bugorki disseminations, occasionally lymphangites. In 1 year (sometimes more) an infiltrate decreases, the ulcer cicatrises.
Do our playmate knows where can he purchase priligy online? At older persons at lesion localisation on stops, brushes can develop consecutive diffusively infiltrirujushchie leishamaniomas with the small ulcerations which are not leaving appreciable cicatrixes. The tuberculoid form is observed more often on the person in area postlejshmanioznogo cicatrix. We purchase priligy online pill at the price $5.20 per tablet. Bugorki 1-3 mm to diameter zheltovato brown colouring are located separately or merge in bugorkovye infiltrates, a part bugorkov izjazvljaetsja, they crust and cicatrise. The general condition is not broken. The leishmaniasis the dermal zoonotic differs shorter incubation interval - usually 1-4 ned (no more than 2 mes), fast growth and transformation bugorka in an element of type of a furuncle with a powerful inflammatory infiltrate, indistinct borders, an edema. Its central part quickly is exposed to a necrosis with formation of a crateriform ulcer with the purulent separated. Round the basic there are new ulcers, lymphangites round ulcers, a lymphadenitis are characteristic also. Process is accompanied by morbidity, development of edemas of feet, anticnemions. Through 3-6 mes process comes to an end with a cicatrisation. The diagnosis put on the basis of epidemiological, anamnestic, clinical and microbiological (detection lejshmany) the data. A material for research take from not broken up bugorka or an infiltrate round an ulcer. For this purpose, having squeezed an infiltrate site, do a superficial cut of a false skin and soskob tissues with a smear staining on a method Romanovsky-gimzy. His boss wants to purchase dapoxetine. Lejshmanii find in macrophages and it is extracellular (at a tuberculoid variant they are taped in very small amount), at negative result conduct histological research or make infection of white mice. The differential diagnosis spend with a pyoderma, a tuberculosis, a syphilis, a skin cancer.