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THROUGH THE LENS
Year : 2018  |  Volume : 9  |  Issue : 1  |  Page : 77  

Extensive post-kala-azar dermal leishmaniasis


1 Department of Dermatology, All Institute of Medical Sciences, New Delhi, India
2 Department of Dermatology, Safdarjung Hospital, New Delhi, India

Date of Web Publication22-Jan-2018

Correspondence Address:
Gomathy Sethuraman
Department of Dermatology, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/idoj.IDOJ_149_17

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How to cite this article:
Dev T, Kudligi C, Ramesh V, Sethuraman G. Extensive post-kala-azar dermal leishmaniasis. Indian Dermatol Online J 2018;9:77

How to cite this URL:
Dev T, Kudligi C, Ramesh V, Sethuraman G. Extensive post-kala-azar dermal leishmaniasis. Indian Dermatol Online J [serial online] 2018 [cited 2020 Sep 30];9:77. Available from: http://www.idoj.in/text.asp?2018/9/1/77/223714



A 16-year-old male from Bihar had confluent hypopigmented plaques along with erythematous succulent papules on the chin, trunk, and shoulders for the past 8 years. There was relative sparing of axillae, suprapubic, and inguinal regions [Figure 1]a, [Figure 1]b, [Figure 1]c. He had a history of kala-azar. Skin biopsy and smear showed numerous Leishman Donovan bodies [Figure 1]d. rk39 antigen detection was positive.[1],[2] Human immunodeficiency virus serology was nonreactive, and CD4 and CD8 counts were normal. He had extensive post-kala-azar dermal leishmaniasis along with tuberculous lymphadenitis and pleural effusion. He improved with a combination therapy of sodium stibogluconate 10 mg/kg and rifampicin 15 mg/kg along with antitubercular treatment.[3]
Figure 1: (a-c) Extensive hypopigmented and infiltrated skin along with juicy papules on the chin, trunk, and shoulder. (d) Amastigote forms of Leishmania donovani (LD) in the histiocytes (Giemsa, ×400)

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Sethuraman G, Sharma VK, Salotra P. Indian mucosal leishmaniasis due to Leishmania Donovani infection. New Eng J Med 2008;358:313-5.  Back to cited text no. 1
    
2.
Salotra P, Sreenivas G, Ramesh V, Sunder S. A simple and sensitive test for field diagnosis of post kala azar dermal leishmaniasis. Br J Dermatol 2001;145:630-2.  Back to cited text no. 2
    
3.
Sharma VK, Prasad HRY, Sethuraman G, Khaitan BK. Combination therapy with sodium stibogluconate and rifampicin in post kala-azar dermal leishmaniasis. Ind J Dermatol Venereol Leprol2007;73:53-4.  Back to cited text no. 3
    


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