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Post-kala-azar dermal leishmaniasis: recent developments.

Sarman Singh1, Umakant Sharma, Jyotsna Mishra

  • 1Division of Clinical Microbiology, Department of Laboratory Medicine, All India Institute of Medical Sciences, New Delhi, India. sarman_singh@yahoo.com

International Journal of Dermatology
|December 1, 2011
PubMed
Summary
This summary is machine-generated.

Post-kala-azar dermal leishmaniasis (PKDL) is a skin condition developing after visceral leishmaniasis treatment. Genetic differences between Leishmania strains suggest PKDL pathogenesis is complex and possibly immunological.

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Area of Science:

  • Parasitology
  • Immunology
  • Molecular Biology

Background:

  • Post-kala-azar dermal leishmaniasis (PKDL) is a dermatosis that affects patients after successful treatment for visceral leishmaniasis.
  • PKDL is prevalent in the Indian subcontinent and East Africa, with significant percentages of treated visceral leishmaniasis patients developing the condition.

Purpose of the Study:

  • To review current evidence on the pathogenesis of PKDL.
  • To explore the immunological and genetic factors potentially involved in PKDL development.

Main Methods:

  • Review of existing scientific literature and evidence on PKDL.
  • Analysis of genetic differences between Leishmania strains causing visceral leishmaniasis and PKDL.

Main Results:

  • The pathogenesis of PKDL is suggested to be largely immunologically mediated.
  • Genetic analysis indicates that Leishmania strains causing visceral disease differ from those causing PKDL.
  • PKDL is rare in infections caused by Leishmania chagasi compared to Leishmania donovani and Leishmania infantum.

Conclusions:

  • PKDL pathogenesis is complex, likely involving immunological mechanisms and potentially in-vivo genetic alterations or reinfection.
  • Genetic divergence of Leishmania strains is a key factor differentiating visceral leishmaniasis and PKDL.
  • Further research into PKDL pathogenesis is crucial for understanding and controlling leishmaniasis outbreaks.