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Year : 2002  |  Volume : 68  |  Issue : 3  |  Page : 171--173

Post - Kala - Azar - dermal - leishmaniasis: An unusual presentation from Uttarachal (A non - endemic hilly region of India)

Department of Dermatology & Venereology, and Department of Pathology, Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun-248 140. Uttaranchal, India

Correspondence Address:
Arun Joshi
Department of Dermatology & Venereology, Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun-248 140. Uttaranchal
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Source of Support: None, Conflict of Interest: None

PMID: 17656928

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A 26 -year-old male resident of Uttaranchal had a single large, erythematous, indurated verrucous plaque on chin of 1 year duration. He had suffered from visceral leishmaniasis 4 -years back for which he was treated with injection sodium antimony gluconate (SAG) IM OD for 20 days. He had never been to regions endemic for kola - czar (KA) or post - kola -azar-dermal leishmaniasis (PKDL). Skin biopsy showed chronic granulomatous inflammation in the dermis. Giemsa stain revealed LD bodies inside the macrophages. The patient was treated successfully with injection SAG 20 mg/kg parenterally for 60 days. To the best of our knowledge, this is probably the first case of PKDL from the hills of Uttaranchal.

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