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Post-kala-azar dermal leishmaniasis--an unusual presentation
S Lakhanpal1, R K Pandhi, B K Khaitan
1Department of Dermatology and Venereology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Acta Dermato-Venereologica
|October 21, 1998
Summary
Post-kala-azar dermal leishmaniasis (PKDL) can manifest in various skin forms. This case study shows successful treatment of disseminated annular PKDL lesions using sodium antimony gluconate.
Area of Science:
- Dermatology
- Infectious Diseases
- Parasitology
Background:
- Post-kala-azar dermal leishmaniasis (PKDL) is a common sequel to visceral leishmaniasis, particularly in the Indian subcontinent.
- PKDL can present with diverse dermatological manifestations, including macules, papules, nodules, and erythema.
Observation:
- A patient presented with disseminated annular lesions characteristic of PKDL.
- The lesions were described as annular, indicating a ring-like or circular pattern.
Findings:
- The patient received daily intravenous injections of sodium antimony gluconate.
- Treatment involved a dosage of 20 mg/kg body weight for 120 days.
- Complete clearance of the disseminated annular PKDL lesions was achieved.
Implications:
- Sodium antimony gluconate remains an effective treatment option for PKDL, even in disseminated forms.
- This case highlights the importance of recognizing diverse clinical presentations of PKDL.
- Successful treatment underscores the potential for complete dermatological recovery from PKDL.