|LETTER TO EDITOR
|Year : 1996 | Volume
| Issue : 6 | Page : 410-411
PKDL mimicking post-inflammatory changes of pityriasis rosea
Sanjay Singh, SS Pandey
|How to cite this article:|
Singh S, Pandey S S. PKDL mimicking post-inflammatory changes of pityriasis rosea. Indian J Dermatol Venereol Leprol 1996;62:410-1
|How to cite this URL:|
Singh S, Pandey S S. PKDL mimicking post-inflammatory changes of pityriasis rosea. Indian J Dermatol Venereol Leprol [serial online] 1996 [cited 2013 Dec 8];62:410-1. Available from: http://www.ijdvl.com/text.asp?1996/62/6/410/4488
| To the Editor,|| |
A 12-year-old boy presented to us with numerous well-defined hypopigmented macules over the lower part of the face, neck, trunk and proximal parts of limbs [Figure - 1] present for the last 6 months. Some had coalesced to form large patches but most of the lesions on the back were aligned along the long axes of ribs in a stricking "Christmas tree" pattern [Figure: 2]. The lesions were asymptomatic and slowly progressive while the sensations were intact. There were no features of nerve involvement. A diagnosis of pityriasis rosea was made at this juncture.
However, there was history of a prolonged continuous fever for 5 months with swelling in the left side of abdomen about 4 years before the onset of skin lesions. This was successfully treated with about 20 intramuscular injections of pentavalent antimony after being diagnosed as kala-azar. The patient belonged to Ramnagar (UP) which is an endemic area for kala-azar.
The histopathological examination of the biopsy specimen taken from a lesion showed in the upper dermis an infiltrate of lymphocytes, plasma cells and histiocytes. The slit-skin smear examination was inconsequential. The diagnosis was changed to post-kala-azar dermal leishmaniasis (PKDL). This case is being reported because of its peculiar resemblance to the post-inflammatory changes of pityriasis rosea.
[Figure - 1], [Figure - 2]