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 ORIGINAL ARTICLE
Year : 2003  |  Volume : 69  |  Issue : 2  |  Page : 170--172

A new focus of cutaneous leishmaniasis in Himachal Pradesh (India)


Dept. of Dermatology, IG Medical College, Shimla - 171 001, India

Correspondence Address:
N L Sharma
Dept. of Dermatology, IG Medical College, Shimla - 171 001
India
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Source of Support: None, Conflict of Interest: None


PMID: 17642870

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This paper highlights anew focus of cutaneous leishmaniasis (CL) in the temperate area of Himachal Pradesh (India), a previously non-endemic area. In this hospital-based study, 38 new cases of CL, acquired indigenously have been detected from 1988 - 2000. Of these, 26 were from Kinnaur district and 12 from adjoining areas of bordering districts situated along the river: Satluj. There were 18 males and 20 females. They were between 4-75 years of age and had the disease for one month to 2 years at the time of presentation. Face involvement was seen in majority of the patients. Nodulo-ulcerative plaque was the commonest lesion. Muco-cutaneous lesions were seen in four cases. Tissue smears and biopsies were positive for LD bodies in 61.7% and 29.4% cases respectively. Intralesional sodium stibogluconate produced a consistent therapeutic response. The possible mode of its introduction in the region is postulated. The reservoir of infection, identity of the vector at this altitude (9002900 meters above sea level) and the strain of leishmania, remain to be identified.






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Online since 15th March '04
Published by Wolters Kluwer - Medknow